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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 o~/a drogerty I own or occupy <br />I am a registered builder OR the authorized repre~enta ire <br /> of a registered builder, <br />Yhe work will be perCormed by a registored builder· <br />Other <br />I have read and agree to the terms stated oH the reverse side of <br />this document, <br /> <br />, BLAZER INDUS'rRIF.,S i 57806-000 : COMMERCIAL <br /> <br /> 945 O[,,NF:Y ) ~O~TRACT CITY: , UGB, ~ ~C~PANT LOAD: <br /> AtJ~,~VZL. I_.I:. OR 77~25 AUMSVILLE ~ NO <br /> <br /> F'S BOX 489 ~' <br /> AUMSVILLE OR 77381 ' SITE HUNBEE: <br /> PHONE~ 747-57~2 VALUATION: <br /> <br />TYPE: BUILDING PERNIT OR APPLICATION NO: <br /> <br />CONI'RACTOR~ NO. ~2~13 <br /> We]. Bu~l~ Fence <br />PO Bo× 1~.72 <br />Au~sville~ 97325-0000 <br />PHONE: <br /> <br /> 55828 <br />ARCNITECT/ENGtNEER, NO. <br /> <br />PHONE; <br /> <br /> ]:TEM QUANTITY AMOUNT <br />BiJ}:LDING FEE <br />PLAH REVIEW ; $44.50 <br />BUILDING STATE SURCHARGE $2,23 <br /> r <br /> <br />PAYEE:: <br /> <br /> TOTAL ASSESSED FEES <br /> PEEVIOUS RECEIPTS <br /> THIS RECEIPT : <br />,: ~ALANcE DUE <br /> <br />$75,66 <br /> <br /> $0.00 <br /> <br />$0.00 <br /> <br /> RECEIVED BY: PB TYPE: CHECK ~:: 0 <br />* THIS IS A VALID PERMIT; THIS:PERMIT EXPIRES 188 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR ¢ PER~OD,:OF 188 D~YS, OR IF CONSTRUCTION FAILS TO MEET ALL <br /> EaUIREMENTS OF STATE COUNTY BuiLDiNG AND ZONING ORDINANCES, THIS <br /> ~LL SECOHE NULL ~ND VOID; <br /> <br />HEIGHT: SETBACKS: F:'R / <br />TOTAL SQ F'f': 0 LS-/ <br />'STORIES: RS""/ <br />PLAN.ACTION: RR""/ <br />ENERGY PATH: Sp~iI ............ <br /> <br />,,,Ni.;,~.( G Y F'ATH~ <br /> <br />F,'fl'F'IRI'{S: 6'~ FENCE W/BARBE. D WIRE <br /> <br />D~!!,F'd,,.D 1% t.,~OODI,,;EY,~ MARION COUHTY BUILDING OFFICIAL / BY <br /> <br />FORM # MC 15-56 REV, 4/~0 ~-OPY <br /> <br /> <br />