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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 <br /> CODE-A-PHONE 4:30 RM, - 8:00 A,M, <br />~1~ I am performing work on a property I own or occupy. <br /> <br /> The work will be performed by a registered builder. <br /> <br />o[~,~E *. 03/02/90 TIME: '~6.-06:22 TA× LOT: <br /> ISSERG R V PARK 40215-925 <br />SI'~US ADDRESS: CONSTRUCTION TYPE: <br /> <br /> 5.--N <br />21599 DOLORES HAY NE CONTRAOTOITY; UGB; <br />ALJRORA OR 97002 <br />use OF gUILOING: MARION COUNTY NO <br /> <br />CATEGORY: <br /> COMMERC I AL <br />OCCUPANCY: <br /> <br />NOOFBEDROOMS. <br /> <br />MAILING ADDRESS: PUBLIC ~RKS AND UTILITIES BUILDING,~t~go~ws~oN; <br /> <br /> SAME <br /> <br /> PHONE: 678-2646 <br /> <br />LOT. 8LOCK: <br /> <br />TOWN~gRIP: <br /> <br />SITE NUMBER.' <br /> VALUATION; <br />RAN~B: <br /> <br /> 9565 <br />$10.000_00 <br /> <br /> 9 <br />WIDTH: DEPTH: AREA: UNITS: <br /> <br /> 5.8200001? <br /> <br />4S '1N <br />AC NO NO <br /> <br />ID <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION NO~ <br /> <br />CONTRACTOR, NO. <br />ISBER:~ R V PARK <br />SAME <br /> <br />PHONE: 876-2646 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />FLEET SURCHARGE -ZONE 6 <br />BUILDING STATE SURCHARGE <br />ZONING SURCHAf:~E <br /> <br /> 9022233 <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE~ <br /> <br />TOTAL ,~SESSED ~EES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />AI~DUNT <br /> ~80.50 <br /> 52.22 <br /> $7.68 <br /> <br /> $4.03 <br /> <br /> $148.57 <br /> $o.oo <br />.$148.57 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: ISBERG R V PARK 235?4 <br />RECEIVED BY: c] TYPE: CK CHECK ~: 215'1 <br /> <br />FOLLOWING ivlJST BE COMPLETED.',, I'T'"IS* THE RESPONSIBILITY (~F THE APPLICANT TO ASSURE THAT <br />ALL NECESSARY INFORMATION HAS BEEN] pROVIDED,. <br /> <br /> CITY JURISDICTION: BY <br /> <br /> DATE <br /> <br />LAUNDRY RM <br />TOTAL SQ FT: 0 STORIES: <br /> <br />DATE <br /> <br />.,c~.,~ R6v -¢~e OFFICE <br /> COPY <br /> <br /> <br />