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MARION COUNTY BUILDING IINSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STREET NE-- <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />The work win be performed by a registered builder. <br /> <br /> DATE: 0]./04/95 TIHE: <br /> <br /> NODDERN BUILDING SYSTEMS, INC <br /> <br /> 9495 PORTER RD <br />AUMSVILLE, <br /> <br />USE OF BUILDING; <br /> <br />SIGNATURE OF APPL CANT ~~-' <br /> <br /> TAX LOT: CATEGORY: <br /> 60518-000 COMMERCIAL <br /> CONSTRUUYION +,¢P~: OCCLIpANCY[ <br /> 5-N ? <br /> SE C" BONT AOT CITY: UGB: :~bOUfiAN~ LOAD; <br />OR 97525 MARION COUNTY: NO <br /> <br />INDUSTRIAL BUILDINGS <br /> <br />KENNETH A RASMUSSEN~ P~E. 682-.!.422~, <br />PO BOX 250 TUALATIN~ OR 97062 <br /> <br />WIDTH: <br /> <br /> SITE NUMBER: 93-000~f8' <br />PHONE: 749-4949 <br /> VALUATION: ~'200,000.00 <br /> <br /> RAN ZON <br /> DEPTtI: AREA: : CHITS: lARGe. LOTL <br /> <br /> PERHIT OR APPLICATION NO: 904472~ ~: ~ %~':":'~""~ <br /> <br />TYPE: BUILDING <br /> <br />CONTRACTOR, NO. 04657 <br /> MODERN BUILDING SYSTEMS, <br />PO BOX 250 <br />TUALATIM, 97062-0000 <br />PHONE: 682-5685 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />FIRE AND LIFE SAFETY REVII <br />BUILDING STATE SURCHARGE <br />ZONING SURCHARGE <br /> <br />IN <br /> <br /> ARCHITECT/ENBINEER NO. ~'~' <br /> <br />THIS RECEIPT <br /> <br />BALANCE DUE ~ ~ ' ~ <br /> <br /> $685.00 <br /> $445.95 <br /> $273.20 <br /> <br />$1,468.45 <br /> $0.00 <br />$~,468.45 <br /> <br /> $o.oo <br /> <br /> PAYEE: MODERN BUILp~i, N6 ~STEMS, INC. 46875 <br /> RECEIVED BY: MB___~_~,_~}~,~_= ..................... TYPE: OK CHECK ~: 53267 <br /> <br />· THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A REVIEW PROCESS NHERE THE <br />FOLLOWING MUST BE COMPLETED. IT iS THE RESPONSIBILITY OF THE APPLICAM~ TO ASSURE THAT <br />LL NECESSARY INFORMATION HAS BEEN PROVIDED. <br /> <br />PLAN REVIEW: BY 'i'~ DATE,z~.¢t/~¢/~.:z~ HEIGHT: S2 <br /> <br />SEPTIC: 8Y~___~Z~'Z===:]]OATH ~''-'-- ............. STORIES: <br /> PLAN~ACTION: <br />CITY JURISDICTION: 8Y ........ DATE ......... ENERGY PATH: <br /> <br />RENARKS: MODERN BUILDING SYSTEMS INC ADOiTION REMOOEL OF PRODUGTION <br /> <br />SETBACKS: <br /> <br /> SP <br /> <br />FACILITY <br /> <br />FORM It MC 15,$6 REV. 4/90 <br /> <br />OFFICE COPY <br /> <br /> <br />