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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) 568-5147 · 24.HR Inspection Line: (503) 373-4427 <br /> <br /> BUILDING APPLICATION <br />DATE/TIHE : 11/18/96 16:83 ACTIVITY HO : 76-89~73 <br />TYPE : Commercial addition/alteration STATUS : APPLIED <br />CLASS : Other Struct Add'n/Alteration APPLIED : 11/18/1976 <br />OCCUPANCY ~ ,~.~3~... TO EXPIRE : 85/17/1977 <br /> <br />WORE )FSC : REPI.ACE EXISI' {,AN.)PY W/NEW CANr)PY <br /> <br />SI'IF AbDI~[SS <br /> <br />CITY: MARION COUNTY <br /> <br />:1.2.~S4 EWLEN RD NE AR <br /> <br />CROSS S'IRFFT : SOUTH W[,.SI 12fII:~N[i'R OF EHI_EN RI) & 1-, (I..E. AI'HERS) <br /> <br />F'AR]E NUMBER : 4~17-0(40 <br /> RAM;E[ oTZF : .00 AC <br /> <br />)WNER I,IAitE : I. KAI'HF:RS 1.1']) FAR" "TNERSH[F"" ' ' <br /> <br />APP[ ;[(::ANT <br /> NAME <br /> Al I)RE, S <br /> <br />PHI)NE <br /> <br />~ R 11 J{EY= t. ARF;Y-CUN,~UIr. TAN F <br /> <br /> PORTI .AND, OR <br /> 97,, J 4 <br />: 5'a 3- 2:!16 - 6'.400 <br /> <br />C()N1RACTOI~/ : RAY F BFCKER CO <br />AGENT : R ~ TCFIEY, Ir. ARI4.'Y-CONSUE.TANT <br />PHllb)~' : 2RB-53M <br /> <br />LCCB. 0007605 <br /> <br />8 I[[.!)INq "l <br /> -SI Fl': <br /> <br />SfORIES: <br /> <br />HEIGNF: 19 <br /> <br />Unit-s l)escripti on <br /> <br /> Flan Re~:'J~w F'ee <br /> 1 m:ltr~,/Li[~ Safety Revi. e~ <br /> ~i M':e surcharge <br /> 1 Zone surcharge <br /> <br /> F <br />........................................ <br /> <br /> 56.20 <br /> 7.03 <br /> 7.0S <br /> <br /> As.~essed 'fees 302.09 <br /> AdjustMents ., 00 <br /> TotM fees 302.09 <br />F AYF. E. RI1 .NEY,; I.ARRY -', )NS.)I.TANT l'ota 1 payments~ ,.6t. 59 <br /> Balance due . 14~. 58 <br />************************************************************************************* <br /> <br />THIS IS NOT A PERHIT. THIS APPLICATION HUST GO THROUGH A SINULTAHEOUS REVIEW PROCESS <br />WHERE ZONING. SEPTIC (IF APPLICABLE) AND CONSTRUCTIOH PLANS ARE CHECKED PRIOR TO THE <br />ISSUANCE OF A PERflIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT ALL <br />NECESSARY INFORNATION IS PROVIDE1). AS SOON AS ALL REOUIRENENTS OF THE REVIEW HAVE <br />BFFH HFI', YOU WILL BE NOTIFIED THAT YOUR PERHIT HAS BEEN ISSUED. <br /> ................................. , . <br />*****************************************************************--********************* <br />OONAll) F. WJ')I)DI.EY, MARmN r, ouNrY ,~u'riJ)[NI; OFF'O.,[AL /,fly I)srolqe. <br />..................................... ' ......... FOR OFFICE USI~ ONL~ ............... ~ ........... <br /> <br />F~AP : 4R ZONF: 1')) PROPERLY LOf:hlOR: <br /> <br />SETBACK.S: F'r,mt: I.ef'b: Ri!:.lh'b: Rear: Spe,....a ~.. <br /> <br />Pla,k) RFVIEW : I)ATE." /[iN]N(; kEVIEW. DALE;: <br /> <br /> <br />