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MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 · Salem, Oregon 97301-3670 <br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 · 24-1-1R Inspection Line: (503) 373-4427 <br /> <br /> PREFABRICATED STRUCTURE APPLICATION <br />DATE/TIIIE : S9/~6/96 S7=33 ACTIVITY NO : 96-86119 <br />TYPE : Neu Coaaercia! STATUS : APPLIED <br />CLASS : Other Nonrestdentta! ButXd~ng APPLIED : ~9/12/1996 <br />OCCUPANCY : B TO EXPIRE = ~2/~8/~97 <br /> PAGE 1 <br /> <br />VALUATION : <br />WORE OESC : AT&T COMMUNICATION/SHELTER BLDG (PREVIOUS EXP) <br /> <br />SITE ADDRESS : CITY: MARION COUNTY <br /> 22184 BENTS RD NE AR <br /> <br />CROSS STREET <br /> <br />PARCEL NUMBER <br />PARCEL SIZE <br /> <br />OWNER NAME <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br />PHONE <br /> <br />EHLEN RD NE <br /> <br />4~337-827 <br /> 5.0AC <br /> <br />CORBETT,F,CAROTHERS,M~PRATT,J <br /> <br />AT&T <br />1608 SW 4TH <br />PORTLAND, OREGON <br />A(~5NT: DAVID STRUTZ <br />5~3-~06-78~2 <br /> <br />97281 <br /> <br />CONTRACTOR/ : <br />AGENT : AT&T <br />PHONE : <br /> <br />BUILDING 'TYPE : Modular Building <br /> <br /> Units <br /> ]-~.~ Building 'fee <br /> ~.0 Plans review fee <br /> 1 State surcharge <br /> <br /> OCCB: <br /> <br />SQ FT: HEIGHT: 18 <br /> <br />22.22 <br /> .61 <br /> <br /> Assessed fees : 35.56 <br /> Adjustments : .00 <br /> Total .fees : 35.56 <br />PAYEE: AT&T Total paxMents: .00 <br /> Balance ~ue : 35.56 <br /> <br />THIS IS NOT A PERI.lIT. THIS APPLICATION HUST GO THROUGH A SIHULTANEOUS REVIEW PROCESS <br />WHERE ZONI!NG~ ~EPTZC (IF APPLICASLE) AND CONSTRUCTION PLANS ARE CHECKED PRIOR TO THE <br />ISSUANCE OF A PERHIT. ZT IS THE RESPONSIBILITY 0F THE APPLICANT TO ASSURE THAT ALL <br />NECESSARY INFORUATIOH IS PROVIDED. AS SOON AS N.I. REQUIREHENTS OF THE REVIEW HAVE BEEN <br />BEEN HET~ YOU WILL BE HOTIFIIED THAT YOUR PERNIT H~S BEEH ISSUED. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />O!)NAL!) E WllODL~Y? MARION COUNTY BUILDING OFFICIAL / BY MBULL <br /> <br />........................................... FOR OFFICE USE ONLY ......................................... <br />SITE: / tfGB: <br />MAP: 4 ZONE: ID PROPERTY LOCATOR: 041WODA 88900M1 <br /> <br />REQD SETBACKS: Frnnt: Le~t: Right: Rear: Special: <br /> AS PER SITE P[AH <br /> <br />F'I AN R~!¥tEW : OATE: zr)N~NG REVIEW: DA'!'E: <br /> <br /> <br />