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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 />of a registered builder, <br />The work will be performed by a registered builder, <br />Other <br /> <br />I have read and agree ~o the terms stated on the reverse side of <br />this document, <br /> <br /> 7~ MAIN ST <br /> AUHSVILL, E OR 97~25 ~AUMSVILLE <br />USE OF 8UlLOlNm <br /> <br /> 649 EtJREKA AVE <br /> BILVERTON., OR 9738& <br /> PHOME: 87~-4~98 <br /> <br />TYPE: BUILDING PERHIT OR APPLICATION NO: <br /> <br />CONTRACTOR. biO~ <br />BII_LUP~ WOODROW <br />649 £UREKA AVE <br />$II_VERI'ON. OR 97281 <br />PI-lONE: 87~-4~98 <br /> <br /> ITEH <br />BiJII.~ING FEE <br />PLAN REVIEW <br />BUILDING STATE SURCHARGE <br /> <br /> 9856480 <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS 'RECEIPTS <br />THIS RECEIPT <br /> <br />'gALANCE DUE <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $292.00 <br /> $189.80 <br /> $:1.4,,60 <br /> <br /> $496.40 <br /> $0.00 <br /> $496.40 <br /> <br /> $8.80 <br /> <br /> PAYEE: BILL~F'. NOODROW 58987 <br /> RECEIVED BY. AM <br /> ........................................... TYPE: IN CHECK :~: 0 <br />$ THIS IS NOT A PERHIT. THIS APPLICATION NUST GO THROUGH A REVIEM PROCESS WHERE THE <br />FOLLO~iH§ HUST ~E COHPLEfED. IT IS THE.' RESPONSIBILITY OF THE APPL~CAHT TO ASSURE THAT <br />LL NECESSARY IHFORNAT~OH HASSEEH PROVIDED. <br /> <br />PLAN REVIEW: BY D~TE :e?lf41~ <br />ZONING: 8Y .............. T-~ DATE ....... ~"'. <br />SEPI'IC,~ BY ................. ~- 'I)ATE ........... -- <br />I;ITY JORISDILTIOH. BY ~ATE <br /> <br /> HEIGHT: SETBACKS: FR 20 <br /> TOTAL SQFT: 1512 I_S-'O <br />STORIES: I RS"-20 <br />PLAN~AOTtON: RR'"'52 <br />ENERGYF'ATH: SP]'.] .......... <br /> <br />REMARKS: OFFICE SPACE, 4 MINI STORAGE UNITS~ 2 BA <br /> <br />OFF!CE COPY <br /> <br /> <br />