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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH $~-REET'NE <br /> SALEM, OREGOIXi 97301 <br /> <br /> PHONE ~88-5147 <br />CODE-A-PHONE 4:30 P.M. - 8:00 A,M. <br /> <br />I an~ performing work on a property I own or occupy. <br />I ama registered builderO~( ) the authorized represontative <br /> <br />DATE: 06/13/88 TIME: 1:38:58p <br /> <br /> LUCAS, REX (ATKtNS THRIFTWAY <br /> <br /> 210 MAIN ST <br />AUMSVI LL, E OR 9?325 <br /> <br />AUMSVILLE NO <br /> <br /> STORES AND OTHER MERCANTILE BUILDINGS <br /> <br />PO BOX 2 ] 9 <br />AUMSV I LLE <br />PHONE: ?49-25?8 SiTE NUMBER: <br /> VALUATION: <br /> <br />213-1783 iCATEGORY: COMMERCIAL <br /> IOOCUPANC~. <br /> <br /> !OCCUPANT LOAD' <br /> <br />4617 <br /> $26,000_¢0 <br /> <br />WIDTH' DEPTH AREA UNITS <br /> <br />RREG. LOT: NO <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION NO: 900904? <br /> <br />CONTRACTOR, NO- <br />LUCAS, REX (ATKiNS THRIFTWAY <br />PO 8OX 210 <br />AUMSVILLE <br />PHONE: 749-2576 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />FLEET SURCHARGE -ZONE 9 <br />CUILBING STATE SURCHARGE <br /> <br />ARCHITECT/ENGINEER, NO. UNITED <br />UNITED C;K)RCERS. INC <br />5433 SE LAKE ROAD <br />PORTLAND 9?222 <br />PHONE: 553~5330 <br /> <br />QUANTITY <br /> <br />AMC'UNT <br /> <br /> $113.75 <br /> $3,84 <br /> <br /> TOTAL ASSESSED FEES <br /> PREVIOUSRECEtPTS <br /> THIS RECEIPT <br /> BALANCE DUE <br />PAYEE: LUCAS, REX (ATKINS THRIFTWAY DELI) 9'7'19 <br /> <br />$301.34 <br /> $0_00 <br />$301_34 <br /> <br />$0.00 <br /> <br />RECEIVED BY: DM ................................ TYPE: IN CHECK ~: 0 <br /> <br />~ THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING MUST BE COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLIOANT TO ASSURE THAT <br />ALL NECESSARY INFORMATION HAS BEEN PROVIDED. <br /> <br />~ONING: BY ........... DATE ........... SETBACKS: ?R-____ LS-____ RS-_ .... RR-___~ <br /> <br />REMARKS= ENCLOSING PORCH FOR DELI <br />HEIGHT: TOTAL ~ FT: 0 STORIES: 1 PLAN.ACTION: <br /> <br />OlTY JURISDICTION; BY ........ DATE <br /> <br />~o.u ,, ~c ~-:,. ~EV ~/u~ OFFICE COPY <br /> <br /> <br />