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MARION COUNTY BUILDING INSPECTION <br />SENATOR B~DG. NO. 225 <br />220 HIGH,STREET NE <br /> SALEM, OREGON 9'7301 <br /> <br /> PHONE 588-5147 <br /> CODE-A-PHONE 4:30 P.M, - 8:00 A,M. <br /> <br />lam performing work on ¢ property I own or occupy, <br />I 8m a registered builder OR the authorized representative SIGNATUR6 OF APPLICANT; <br />Of e registered b¢lder, <br />The w~rk wiJl be performed by a registere¢ builCer. <br /> <br />owrt.a~TE: 09/04/89 TINE.* 12:24t4?p <br /> <br />S~Tus^DoREssNORTH I~RION GRAADE SCHOOL <br /> <br />CONSTRUCTION TYPE; OCCUPANCY: <br /> <br />COMMERCIAL <br /> <br /> ¢ONYRACT ¢ITYI 8J'I~N <br />2023? GRIM ROAD NE <br />AURORA OR 97002 <br />USEOFeUILDING; MARION COUNTY NO <br /> <br />OCCUPANT <br /> <br />MAILING A~DRESS~ SCHOOL~ AND OTHER EDUCATIONAL BUIL~N: <br /> <br /> PHONE: SITE NUI~3ER: <br />LOT: BLOCKI SECTION: TOWNSHIP: RANG~VALUAT I ON: ZONE: <br /> <br />WIDTH: DEPTH: AREA: UNITS; IRREG, LOT: OORNEM: <br /> <br />2463 <br /> $123 ~¢¢50. O0 <br /> <br />NO NO <br /> <br />TYPE: BUILDING PERNIT OR APPLICATION NO; 9017919 <br /> <br />CONTRACTOR, NO. GL.acS <br />GLAS-SH I ELD <br />11035 NE NARX <br />PORTLAND OR 9?220 <br />PHONE: 256-1676 <br /> <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE <br /> <br /> ITEI~ <br />BUILDING FEE <br />PLAN REVI E~ <br />FLEET .SURCHARGE -ZONE 6 <br />BUILDING STATE SURCHARGE <br />ZONING SURCHARGE <br /> <br />pT, OTAL ASSESSED ",FEES <br /> REVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> 492. O0 <br /> 320.45 <br /> $7.68 <br /> $24. SS <br /> $24.65 <br /> <br />$870.43 <br /> $0.00 <br />$8?0.43 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: GLAS-SH I ELD ,~ 19022 <br />RECEIVED BY: x'xx ~~ 77(PE,~,,,'C,I¢ CHECK ~: 3714 <br /> <br /> THIS IS NOT A PEF~4IT. lrri]~,~:,,,'~DD ,C~..T,.ION,,,IYLJST, CCD THROU¢_-~{, A; REVIE1N PR~ESS ~ERE THE <br />FOLLOWING ~BT BE C~DLETED.";,,,~'::J8 ~E ,RES~SIBILITY ,OFf.E, APPLIC~T TO ~RE THAT <br />ALL NEC~SARY INFOATI~ <br /> <br /> " ' CI~' JURISDICTION: BY DATE <br />SEPTIC: ~Y DATE ,, <br />Z~ING: 8Y ......... DATE ......... SETBACk: <br /> <br />R~R~: RE-~F R~7890 <br />HEIGHT: 12 TOTAL ~ FT: 40000 STORIES: 1 PLAN.ACTION: <br /> <br /> <br />