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MARION COUNTY BUILDING INSPECTION <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 />I am performing work on a property I own or occupy, <br />I am ~ registered builder OR ( ) the authorized representative <br />of a registered builder- <br />The work will be performed by a registered builder, <br />Other <br /> <br />I have read and agree to the terms stated on the reverse side of <br />this document. <br /> <br />~lfU8 ADDRESS: ~ CONSTRUCTION TYPE; <br /> <br /> 79~ HAIN SF <br /> AUMSVILL E OR 97S25 AUHS¥ILLE <br />USE OF GSILDING: <br /> S[ORE~ AHD <br /> <br />:COMMERCIAL <br /> OCCUPANCYZ <br /> <br />~G~U PANT LOAD: <br /> <br /> .... AUNSV-I.L&.E A~XQ I-T tQM <br /> 649 EIJRIiZKA AYE <br /> SZI,..VERTON, OR 97~81 ~TE NUHBER: <br /> PHOHE.' 873-4398 VALUATION: $4~ 32~. ~8 <br /> <br />LOT: : a~OCK'. [ SECTION'. TOWNSNm: ~ ~AN~'. ~ ZONE: , MAP: <br /> <br />TYPE: BUTU)TflG <br /> <br />PERNTT OR APPLTCATTON NO: <br /> <br />CONTRACTOR. ;*lO. <br />BILLUP,~ WOODROW <br />~,49 EUREKA AVE <br />SJ;LYERrON~ 01,( 97.8I <br />PHONE: 873-4398 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />BUILDING STAT£ SURCHARGE <br /> <br /> 5546~ <br />ARCHITECT/ENGINEER, <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THISRECEIP,T <br /> <br />QUANTITY ANOUN'f <br /> <br /> $;2.83 <br /> $2.53 <br /> <br />$85.86 <br />$85.86 <br /> $0,,~0 <br /> <br /> ::BArAI,iCE :~,gE se. o0 <br /> <br /> PAYEE: <br /> RECEIYEI) BY: DM ..................................... TYPE: CHECI( 8: 8 <br /> * THiS iS A VALID PERHIT. THIS PERMIT ~PIR~ 18e DAYS FROM ITS iSSUE DATE. IF <br />E~UIRENEHTS OF STATE LA~S AND HARiON COU~Y BUIL~ING AND ZONZNG ORDINANCES~ TH~S PEEHIT ~ <br /> <br />ALL BECOME NULL AND VOID. <br /> <br />ENF. RGY PATN: <br /> <br />REMARKS: MINI STORAGE FACILITTES <br /> <br />HEIGHT: SETBACKS: FR N/A <br />TOTALSQFT: 216 LO'"'/ <br />STORIES: i RS'"'/ <br />PLAN.ACTION: RR-/ <br />ENERGY PATH: SP~iI ......... <br /> <br />DONALD E. WOODI.,.EY~ MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />