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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:S0 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am perfor,.m, inB work otl a property I own or occupy. <br />I am a r~istered builder OR the 8ulhorized representative <br /> o a re(2 ptered bu der, <br />The work will be per;ormed by a registered builder, <br />Other. <br /> <br />SIGNATURE OF APPLICANT: <br /> DATE; <br /> <br /> VOEL[..ER, RUSSELL 190100-100 COmmERCIAL <br />SITUS ADDRESB; ', CONSTRUCTION TYPB~ [ ~¢AN~y; <br /> ~ I <br /> <br /> i OCCUPANT <br /> AUMSVIL. L.E OR 97325 ~UMSVILLE [NO <br /> <br />APARTMENTS <br /> <br /> COMMERCIAL ST SE <br />FHOHE: ;370-7802 <br /> <br /> , NO SF SEDROOMS: <br /> <br />SITE NUHBER: 74-0~881 <br />VALUATION: $307~ 280.00 <br /> <br /> LOT, ! BLOCK, 1 SECT ON f TOWNBH P i RANGE; BONE; : MAP: <br /> <br />jWIDTH; OEl:rr N'. AREA: [J'N ITS1 I~E~.-ES~i ('6~ R ~'~ <br />', e. ~ ~ N0 N0 <br /> <br />TYPE: <br /> <br />PE~IT OR APPLICATZ0N HUA <br /> <br /> ~8~1 <br />ARCHITECT/ENGINEEE, NO. <br /> <br />CON1RAOTOR, NO. 79800 <br />Qa}:rel E Be'bhel <br />9550 Ba~es Rd SE <br />AuMsville. ~7,~25-0000 <br />PHONE: 76~-2874 <br /> <br /> ITEM <br />BIJILD:~N6 FEE <br />PL, SN RE¥~EW <br />BUiLDiNG STATE ~URCNARGE <br /> <br />PHONE: <br /> <br /> QUANTITY AH(~NT <br /> $~09.73 <br /> $47.,6~ <br /> <br /> $1,310.~8 <br /> $0.80 <br /> <br /> $0.00 <br /> <br /> ~1222 <br />fYPE: IN CHECK 8: 0 <br /> <br />TOTAL ASSESSE~ FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BAt. ANCE DUE <br /> <br />PAYEE: Darrel E Bethel <br />RECEIVED BY: pn .................................. <br /> <br /> * THIS iS HOT A PERNIT. THiS APPL]ECATIOH 'HUST GO THROUGH A REVIEW PROCESS UHERE THE <br />FOLLOWING HUST BE COHPLETED. IT ~ THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT' <br />LL NECESSARY INFORMATION ~$ BEENPROVZDE~. , <br /> PLAN REVIEW: BY ~ D TE ~%~- HEIGHT: 17 SETBACKS: FR 15 <br /> ZONZH~ BY -- ~2TE .... : L8-77 <br /> - TOTAL SQFT: ~680 <br /> <br /> ---~ ...................... PLAN,. ACTION: PR-8? <br /> CITY JURISDICTION: 8Y ............ D~TE_2 ....... ENERGY PATH: <br /> REMARKS: 8-PLEX' APARTH .............. <br /> <br />OFFICECO?Y <br /> <br /> <br />