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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 22,5 <br />220 HIGH STREET NE <br /> SALEM, OREGQN 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />The work will be per;ermed by a registered builder. <br /> <br />¢ii.u~ A~'~is(s~;'f!~li;, - F,RANK CdN§f~UcT~O~ ~'F~: <br /> <br />COM~tERCIAL <br /> <br /> LOAD: <br /> ,1, ].4,:.,,~ EHLEN RFJAD NE ,' <br />A~O"(A OR ~78~2 MARIO~ COUNTY ~NO <br /> <br />4J. 90 VAN WEL, L RD <br />DALi,AS,, ~R 97358 <br />PHONE,. <br /> <br />SITE NUMBER: 94-01448 <br />VALUAI"r ON: $;~5~ 000. ~0 <br /> MAP' <br /> <br />WIDTH; !D6FFM: ~ ~'Rr~%: :UNI~' ....................... ' ~G. LOT , C~:;' ' 4 <br /> ~ ~ AC~ NO ; NO <br /> <br />TYPE: BUILDING <br /> <br />CI_)HI KAC £[).'(,, liO., <br />1,40 F;K S TI;;:E,~ FRANIx <br />47190 VAN ,~ELL RI) <br />I)AL[,.AS~ OR 973~8 <br />PI!0NE;I o~,.S 362~.. <br /> <br />PERMIT 01~ APPLICATION NO: 5497;2 <br /> ARCHI'fECT/ENGiINEER, NO. <br /> <br /> ITEM <br />SUIt. DING FEE <br />PLAN RE'VIEW <br />BUILDING SI'ATE' SURCHARGE <br />ZOI,I~I NG SUR[;14ARGE <br /> <br />PHONE: <br /> <br /> '?:OTALASSES~ED FEES <br />PREVIOUS RECEIPTS <br /> THIS RECEIPT <br /> BAt,.AN~E DUE <br /> <br />QUANTITY AMOUNT <br /> $215.50 <br /> $140,08 <br /> $10.78 <br /> $10,,78 <br /> <br />$~77.14 <br />$77.89 <br />$299.25 <br /> <br /> AYcE. H0,_K,~fRE. , ~ANK 5809~ <br /> Rk. CE]VED BY,; c.].. ..............................................................TYPE: CK Cl-I,:Ck :~: ~659 <br /> <br /> * THIS IS A VALID PE~NIT~ THIS PERMIT EXPIRES 188 DAYS FROM IT~ ISSUE DATE. IF <br />C0flSTRUCTION CEASES FOR A PERIO9 OF 188 DAY~, OR [F COHSTEUCTION FALLS TO NEET ALL <br /> E~UZREHENTS DF STATE L~HS ~'HAEZON COUNTY BU~L~N~ ~N~ ZDNZN~ 0E~ZNANCES~ TH[S PERNZT <br /> ALL BECONE NULL AH9 VOI~, <br /> <br />HEIGNT: SET~cAC, K$:; FR / <br />TOTAL SQ F'T: 0 LS-/ <br />STORIES: RS'"/ <br />PLAN. AC~:~OI, I.:. RR / <br />ENERGY FATH~ SP],] ........ <br /> <br />t:.NLF, I,~Y <br /> <br />R,:M..hxfxo, HO,i,K,.,fRE rlK: F'IGH'f"[NG WAFER SUPPLY <br /> <br />DOI,IACD LT. NOODLE%. MARION COUNTY BUILDING OFFICIAL /BY <br /> <br />FORM # MC 15.56 RE,,/. 4/90 OFFICE COPY <br /> <br /> <br />