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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 558-5147 <br /> ,.COD~.,;~¢,-PHONE 4 30 PM - 8 00 A M <br /> <br /> · '~r C!E,/~/"9 TildE; ¢'28: ~Sa <br />OW~ .... ~AX LOT <br /> <br />SITUS ~ObHESS GONSTRUO?fON TYPE <br /> <br /> 9610 ~,~ILL CREEK ROAD <br />AL.IFe-3V ~: I._LE OR <br /> <br />USE OF BUILDING <br /> <br />97325 <br /> <br />AUHSVI LLE <br /> <br />56275-757 <br /> NO <br /> <br />CATEGORY <br /> <br /> RESI SENT I ¢,.t," <br /> <br />MAIUNGADORESS OlH.~.R NON,~RESID~fNTIAL BUILDINGS SUBD~v~S,ON <br /> <br />PO BOX 380 <br />AUHSVTL LE OR <br />PHONE: : 49--1.,31 <br /> <br />9?325 <br /> <br />LOT BLOCK SECTION TOWNSHIP <br /> <br />SITE NUMBER: 342 <br />V~.LUAT I ON: $14,580 _ DC' <br /> <br /> 24 <br /> <br />310 <br /> <br />8S 2W <br /> I~REG LOT GORNER <br /> <br />SF YES NO <br /> <br />CO 5 I <br /> <br />TYPE, ELIILIL)[NG PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO- 55?80 <br />J,M. WADSWORTH <br />80S8 SILVER FALLS HWY SE <br />AUNSV]LLE OR 9?325 <br />PHONE, 38~-.8479 <br /> <br /> ~ T EI'~ <br />BUILDING FEE <br />PLAN REVI E~ <br />FLEET SURCNARGE ~ZONE 3 <br />F'%JI'LDING STATE SURCHARGE <br /> <br /> 9016489 <br /> <br />ARCH I TECT/,F, NG I N EER, NC)_ <br /> <br />~ONE: <br /> <br />TOTAD ASS~ED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />OIJANTITY <br /> <br />A~K:)UNT <br /> $110.50 <br /> $7t,83 <br /> $3,84 <br /> $5,53 <br /> <br />$191 70 <br /> <br />BALANCE 0UE ~;0_ 00 <br /> <br />PAYEE: J.fVl. NADSMORTH /~/ 17514 <br />qFZCEIVED ~Y; PL] ......... ._.~__~ ., TYPE: ZN CHECK ~: O <br /> <br />~ TH:IS IS NOT ~ J~R~[T_ THiS ~PPL[CATZON MUST ~ THROUGH A REV;EN PROCESS NHERE rile <br />FOI_LONING ~US~ BE CO~PLETED_ IT IS ~E RES~NSIBILITY OF THE APPLICANF TO ASSLRE THAT <br /> <br />Z~LL NECESSARY J:NFO..~I'4~I?N HAS BEEN PROVIDED. <br />PLAN REVI E~- <br /> <br /> ~, , ZC, BY DAT~ <br /> <br />Z(~ING: BY D~TE ~ .... ACKS. <br /> <br />NEMARFS,,, '~ I' 3R,aGE, CONIME[~?I AL <br /> <br /> CITY JURISDICTION: BY ......... D.6TE ............. <br /> <br /> ~R-O LS-O RS~O RR--O ~0-- <br /> <br />20 TOTAL SO FT: 2400 STORIES~ i PLAN.ACTION: ~ <br /> <br />~oa~ ct Mc I~,~,~ ~ev ~l'~a OFF[CE COPY <br /> <br /> <br />