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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 588-5147
<br />CODE-A-PHONE 4:30 RM. - 8:00 A.M.
<br />
<br />I am performing work on aproperty I own or occupy.
<br />
<br /> E
<br /> ..... : 39/q 3/99
<br /> TTMB:
<br />OWNER;
<br /> H,,M_,I...ST rh)M, GARY
<br />
<br />8:28:02a
<br />
<br />SfTUS ADDRESS:
<br />
<br /> 9?49 DARL..FY RD SE
<br />z.i,jMS,/; L_'_E OR 97325
<br />
<br />UGE OF BUILDING:
<br />MAILING ADDRESS:
<br />
<br />S!N'=~r:¢ FANI~Y ~'kiELLINGS
<br />
<br /> BATE; ....
<br />
<br /> TAX LOT;
<br />
<br /> ,5 d'~
<br />
<br />~,a,R ! ON COLIN TY
<br />
<br />N O
<br />
<br />CATEGORY:
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<br />OCGUPANCY:
<br />
<br />OCCUPANT LOAD:
<br />
<br />NO. OF BEDROOMS
<br />
<br />PHC)NB: 743-2 !3~
<br />
<br /> ?f~4 ??S 2'i7740.
<br />
<br /> SITE NUMBER:
<br /> VALUATION ~
<br /> RANGE'
<br />99 2~
<br /> iRREG. LOT:
<br />S? NO
<br />
<br /> 3302
<br /> $ i5,7'30.08
<br />ZONE; MAP:
<br />
<br /> E Pi..~ 33
<br />
<br /> f',,C
<br />
<br />'T'¥PE ~ ............ ., I,~ PBR~:,r T OR APPL. [CATZON
<br />
<br />8659
<br />
<br />I,,OR i' 7©r'.: CONSTRUCTION
<br />P-O. BOX 5S
<br />'%JRNE~, O~kEGON 97'392
<br />PHONE: ?~ 3."2103
<br />
<br />ARC,H;T~C,,/ENr. TN~u?,. NQ.
<br />PHONE:
<br />
<br />BU .~ L D.~ NG FEE
<br />P L..~N REV l E',4
<br />F%EET SURCNARGE ,,,,ZONE 3
<br />1%U~L, BING STATE SURCHARGE
<br />ZONING SURCHARC;E
<br />
<br />QU.iNT [ TY
<br />
<br />,~?IOUN'T
<br /> $1 '!s. 5c
<br /> $ ?,"i, 73
<br />
<br /> $S. s:?
<br /> $5, ?3
<br />
<br />TOTAL ASSESSED FEES
<br />PREV,IOUS ~ECEIPTS
<br />THTS RECEZP7
<br />
<br />,420'7 73
<br />
<br />BALANCE D~? ;u*~ ~
<br />
<br /> .... L /~ .. c,;3 ,o~. CHE.K
<br />
<br />CONSTRdC'['ION CEASES ~OR $ PERZO~ OF, 180 DAMS', OR TP ~NSTRUCT'f~x r;~fCS TO ~EE% ~
<br />,sc ~t,. E:~E, E,' .> 92 JTATE _A¢~o A~O NAR.ZOBI COUNT, BU[LD[NG AND ZQN~N,.:, O~,xi .N(.E,~ i ..4L3 N2C :
<br />~, ~.,.,~ BECOME h~ .... ~,ND VD ....
<br />
<br />':} '.'".:T~'~CS"S: =R,,~? i..,S--! 00 RS-] 0C RR~'i 0(] SP~'
<br />
<br /> · :E?.~" 'Z?TAL SO ~: 450 STOR;ES;
<br />
<br />DONALD Ea. NOODL. EY, MAR;ON COUNTY E?L!ZL_DiNG OFFTCIAL /
<br />
<br />;~..?,N. AC? ~ C)i,j:
<br />
<br />FORM # MC ~5-58 REV. 11/8~ OFFICE COPY
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