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MARION COUNTY BUILDING INSPECTION <br />SENATOR SLDG, NO. 225 <br />220 HIGH STREET NF <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am performing work on a property I own or occupy· <br /> <br />I have read and agree to the terms stated on the reverse side Of <br /> <br />OWNER: DATE:: 05/21,/9;~ TIME: 12:09:4& ' TAX LOTZ CATEGORY: <br /> BLAZER :I;I,IDU S'f R :I'.F:iS 57806-000 COMMERCIAl_ <br /> <br /> 945 OLNEY C'~Ac~ c~Y: u~: O~¢ANT LOAD: <br /> AUMSVILLE OR ~7~25 AUMSVILL, E NO <br />USE OF BUILDING; N0 OF 8EOROOMS <br /> <br /> O'FICE~ BAI'iK~ AND PROFESSIONAL BUILDINf;s <br />MAIL~NG ADDRESS: SUBDIVISION; <br /> <br />PO BOX 2:35 <br />SILVERTON OR 97381 <br />PHONE: 749-3962 <br /> <br />LOT: BLOCK: SECTION: <br /> <br />SITE HUMBER: <br />VALUATION: $4,000.00 <br />RANGE: ZONE: MAp: <br /> <br />BO YES <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION <br /> <br />CON'f'RACTOR~ N0,, , <br />BLAZER INDUSTRIES <br />PO BOX ~5 <br />SILVERTON OR 97~01 <br />PNO~E= 74%-'~962 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />BUILQING STATE SURCHARGE <br /> <br />PAYEE: <br /> <br /> 47851 <br />ARCFIITECT/ENCtNF:ER~ NO. <br /> <br />P H O NE: <br /> <br />TOTAL ASSESSED EEES <br />PRE¥IOU9 RECEIPTS <br />THIS; RECE'I:pT <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $44.50 <br /> $28.93 <br /> $2.23 <br /> <br />$ 7,J ,, 6,,* <br />$75.66 <br /> ~0.00 <br /> <br />BALANCE DUE $0,, 00 <br /> <br /> ,.,I~CEIVE:D BY:: PB ............................................................. TYPE: CHECK ~: 0 <br /> ........................... <br />CONSTRUCTION CEASES FOR A PERIO~ OF 18~ DAYS, I~R ~F CONSTRUCTION FALLS TO MEET ALL <br />EQUIRENENTS OF STATE LAWS AND MARION CSUNTY BUILDING AND ZONINC ORBIHANCES~ THIS PERMIT <br />ALL BECOME NULL AND VOI~. <br /> <br />ENERCY pATH~ <br /> <br />HEIGHT: SE'T'BACKS: FR 0 <br />TOTAL 8Q F'T: 0 I...S'"'0 <br />STORIES: RS-O <br />PLAN,, ABTION: RR'"'O <br />ENERGY' PATH: SP] ............ <br /> <br />REMARKS: MODULAR OFFICE <br /> <br />DONALD E. WOODLEY, ltARION COUNTY BLJILD:rNG O]:FICIAL / BY <br /> <br />FO~N # MC ~5.5~ REV. 4,/90 OFFICE COPY <br /> <br /> <br />