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lamaregisteredbuilderOR( ) the authorized representative <br />of a registered builder. <br /> <br />Other, , <br /> <br />MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />2~0 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PH(~N E 588-5147 <br /> CODE-A-PHONE 4:30 P,M. - 8:00 A.M. <br /> <br /> DATE: 03/]4/88 ZIME= ]0;49;.20a <br /> OWNER: j TA× I. OT: <br /> HENOR[CKS, EUGENE ~ 80415-055 ~ COHHE~AL <br /> <br /> 95~3 GOLF CLUB RD SE OON*RACT CITY: I UGB; OCCUPANT LOAD: <br /> AUHSV [ LLE O~ 97325 <br /> <br />MAIL~NG AOERES8; OTHER N~R~'[D~T~' 8U'~'DIN~' i SUBDIVISION~ <br /> <br /> LINOA SA~EK / <br /> 14008 TRZU~PH RD SE SUSL. 97385 <br /> PHONE: 769-7035 S~TE' NU~ER: 3887 <br /> <br />LOT: BLOCK: SECTION: ! TOWNSHIP: ',' ~NGE: ~Zb~E ~ MAP~ <br /> 04 9S <br /> <br /> t2.5000 ~, AC <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />HENORICKS, EUGENE <br />LINDA SAJ'4EK <br />14008 TRIUMPH RD,SE SUBL. 97385 <br />PHONE: 769-7035' <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEN <br />FLEET SURCHARGE -ZONE 3 <br />BUILDING STATE SURCHARGE <br />ZONING SURE~ARGE <br /> <br /> 900721? <br />ARCHITECT/ENGINEER, NO, <br /> <br /> 0UANT I TY AMOUNT <br /> $38.50 <br /> $25.03 <br /> $3.84 <br /> : $1 . 93 <br />:, ,: :::= ;,'~:: $1 . 93 <br /> <br />PAYEE: &AMEK, LINDA <br /> <br />$71.23 <br /> $0_00 <br />$71.23 <br /> <br />$0.00 <br /> <br />RECEIVED BY: pb ...,~ : : "!:;' OK "CHECK ~; 1509 <br /> NOT A <br /> ~¢uu~,~,~ i~ST BE CONPLETED.. ZT ~S OF THE APPLZCANT TO ASSURE THAT <br /> <br />S~PTIC: 8Y DAT~~ ~ , <br /> <br />RE~R~: ~LE <br /> 8L~ VEGETABLE ~T~D R~9327 <br />HEIGHT: ~ 1 TOTAL SQ ~: 920 STORI~: I PLAN.ACTION] <br /> <br />"OhM ,, MC ~r,-*~ ~EV.e/~* OFFICE COPY <br /> <br /> <br />