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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />~20 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />Other <br /> <br />ow~'6:tl/29/90 :flif~F~: ~8:92z2~ <br /> oJ'r¥ OF AUf4SVILLE <br />SITUS A~ORESS: <br /> <br />COF~RCIAL <br /> <br /> 955 OLNF_~' __ , Cb~TR^CT C'~Y: 51--~e' i0bCU"~"T L~? <br /> .~UI~Vi LLE OR 97325 i' ~ <br />USE OF BUILDING: ' ~VJUbE NO ~NO OF BEDROOMS <br /> <br />MAILING AODRESS: S'I'~C'[UR~ OTHER THAN 8UiLDIN~ ; SUeOIWS~ON: <br /> <br /> Pro BOX 22? <br /> AUfC~VILLE 9?325 <br /> PHONE: <br /> <br />LOT: BLOCKI SECTION: TowNsHIP: <br /> <br />~iTE NUC'lfCER: 34,50 <br /> $500.00 <br />i RANGE'. MAP: <br /> <br />1125 . 2200 : 24?5000 <br /> <br /> IRREG, LOT: CORNER; <br />~F NO ! NO <br /> <br />TYPE: BUILDING <br /> <br />CONTRAC'rOR, NO. <br />CITY OF AUIviSVfLLE <br />PO BOX 22? <br />AU~V i LLE 9?325 <br />PHONE: <br /> <br />PE~II' OR APPLICATION NO: 27910 <br /> ARCHi'f'EC'f'/ENGINEER, NO. <br /> <br />BUILD1NG FEE <br />PLAN RE¥1EN <br />FLEEF 8UI~.~4ARGE -ZONE 3 <br />BUiLDiNG 8'f'A'r£ ~URCHAF~E <br /> <br />RECEIVED BY: Cb <br /> <br />PHONE~ <br /> <br />QUAN'f' i TY <br /> <br />A~OUNI <br /> $10.00 <br /> ¢6.50 <br /> 3,84 <br /> $o.50 <br /> <br />TOTAL ~E~ED FEES <br />PR~'VIOUS RECEIPTS <br />THi~ RECEIPT <br /> <br />$20.84 <br />$20.84 <br /> <br />BALANCE DUE $0.00 <br /> <br />IYPE, CHECK <br /> <br /> ~ THIS 1S A VALID PERf4IT * l'hi~ PER~IlI' E)(PIRBS 180 DA~ <br />CONSTRUCTION C~ FOR A PERZOD OF 180 DAY~, OR iF CONSTRUCTION FAILS TO NE~T ALL <br />R~IRE~Nf'S OF' STATE LAWS ~D~R[~ ~N'rY BUiLDiNG <br />SHALL BECEL NULL AND VOI0. <br /> <br />SETBACKS; FR L~ R~ RR ................. SP <br />RE~ARKS: CONTA'~NREN'T ¢OR'"'FUEL 'fANF-,S .............. <br /> <br />HEIGHT: TOTAL SO Fl': 0 ~'I'ORIE~: <br /> <br />DE~ALD E. ~DLEY. ~Ri~ COUNTY BUILDING OFFiCiAL / BY <br /> <br />~OnM, MC ~-~e ~Ev. ~ OF FICE COPY <br /> <br /> <br />