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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG, NO 225 <br /> 220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> PHONE 588-5147 /,~ <br /> CODE-A-PHONE 4::30 PM. - 8::00 A,,M,, <br /> <br />ol a registered builder . . <br />The work will De perlormed by a regmtered builder <br /> <br /> Other ,,, <br /> I have read and agree to the terms stated on the reverse side of <br /> this document <br /> }~7E: 06/30/87 TINE: 1:13t02o <br /> <br />OWNER C(,)LUfCZ¢ I A HELICOPTE~ <br /> <br />SITUS ADDRESS <br /> <br /> 14452 &RNDT RD <br /> ~.U RC RA <br /> <br />OR 97002 <br /> <br />NE <br /> <br />DATE <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYPE <br />CONTRACT CITY UGB <br /> <br />N <br /> <br />~0 BOX 3500 <br />oORI'~ANO OR <br />PHONE: 636-.664 <br /> <br />LOT BLOCK <br /> <br />WIDTH DEPTH <br /> <br />' SECTION TOWNSHIP <br />AREA 3 . 0000~ UNITS <br /> <br /> SITE NUF'IBER: <br /> VALUAT I ON: <br /> <br />~.C iRRE~ LOT N: <br /> <br />1535 <br /> $'7,650 OC: <br /> <br /> MAP <br /> <br /> Y <br /> <br />TYPE: BUILDING RERMt7 OR APPLICATION NO: <br /> <br />CONTRACTOR, NO, NATT <br />-~L,}¥¢,) NATT CONST CO <br />PO BOX 1!27'.? <br />oORTLAN¢ OR 97217 <br />OHONFz. 285-0333 <br /> <br /> 7. 7Eiv/ <br />8dILDING FEE <br />PLAN REVI EN <br />FLEET SURCHARGE -ZONE 5 <br />~L: [LJiNG STATE SURCHARGE <br />ZL)M t N,r, %! i~'CHARG,'r- <br /> <br />A~,YE~ GL_OY9 WATT CONS]' CC <br />RECEIVED BY ~i <br /> <br />~< THIS IS NOT A PERNIT. THIS <br />FOLLOWING NUST BE OONPLETED. <br />ALL NECESEC. RY INFO~TION <br /> <br /> 9002954 <br />ARCHITECT/ENGINEER, NC, <br /> <br />PH CN E: <br /> <br />OUANTITY <br /> <br />AMCUN? <br /> '$68.55 <br /> <br /> $3 4? <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$]26 <br /> $C,63 <br />$125,88 <br /> <br />BALANCE DUE <br /> <br />$C.00 <br /> <br />ZN¥OICE NO: 3470 <br />TYPE; CK CHECK a:~ 269~ <br /> <br />A RE'ClEW pROCESS VCHERE I14E <br /> THE APPLICANT TO ASSAJRE THAT <br /> <br />PLAN <br /> <br />,ZON: BY .......... 0ATE ............ i <br /> <br />,', liON: <br /> <br /> <br />