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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM~ OI~EGON 97301 <br /> <br /> PHONE:: 588-5147 8::00 - 4::30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br /> Othor <br /> <br />DAf_h, f~b/28/gT flfclE: 13:2'!:1'? <br /> <br /> WAOSWORIH, J.M. <br /> <br /> 985 OLNE. Y 5f <br />AD~VILLb (.)R 9'f325 <br /> <br />Of HEN NON-Rb~ID[;:NflAL L"~UILDINGS <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br /> TAX LOT <br /> <br />CONSTRUCTION TYPE <br /> 5-N <br />CONTHAG f CITY UGB <br />AU~V [ LLE 1'40 <br /> <br />SUBDIVISION <br /> <br />CATEGORY <br /> /?O~lVfE F<(:; I E,(. <br /> <br />AUIV~V 1LLE (,)R 9";'325 <br />F'>H()Ng; ~b4-84. /9 <br /> <br /> 25 8S <br />249 318 79182_ <br /> <br />~[ IE <br /> VALUA f ION: <br /> <br />RANGE <br /> <br /> 9W <br />IRREG LOT <br /> NO <br /> <br /> $89,0U/,.Uu <br />ZONE MAP <br /> <br /> I. ND 51 <br />CORNER <br /> NO <br /> <br />TYPE:: BUlL_DING PERI'ClJ~I (JR APPLiCATiON NO: <br /> <br />(.;ON I NAC f OR, NO. <br />J .ICl_ WAOSWOR I H <br />PL.) BOX ~?0 <br />~ LIIClSV JL LL~- OB <br />PHC)Nb~ ?49-3200 <br /> <br />MUILOING PEE <br />PLAN REVIEW <br />8UiL_0ING 5fA[~ <br /> <br />:3'1952 <br /> <br />ARCHIf~CI/ENGINg~R, <br /> <br />1155 13TH ST S~ <br /> <br />PHONE: 363-922? <br /> <br />I01AL A~ESSED FEES <br />PREV~Od5 RECglPT$ <br />fNIS RECEIPT <br /> <br />NC) MLIL f I <br /> <br />PAYLL: J,M. W~(]SW(,)RfW <br /> <br />QUAN l I ~ Y ,&M(J[.JN f <br /> $3/,,I, 0L,i <br /> $24.2,45 <br /> $1 9. t b <br /> <br />BALANCE DU~ $O,OC <br /> <br /> R!..CL/VLD BY: F'B TYPE: IN (.:HKCIX <br /> <br /> ~ i fl P,; A V~LIO PERMIT ~ fBI5 PERMIT ~PiRES 180 DAY5 P~M 115 <br />CONSi~UCI ION CEASES NOR A P~RiOD OF 18o OAYS, 0R iF CONSIRUCflON <br />REQUiREMEN/: OF 3fAFE LA~ AND ~RION COUNFY BUiLOING ~B ZONING <br />:SHALL kF~LC()ML NULL ~O VOtO_ <br /> <br />!-d'IVlARK~_' PHA3~ 2 ~ ~ MINI 5~ORAGE <br /> <br />ID()NALf) ~. WO()OL~:Y, MARION OOLJNIY UUILOING OFfiCIAL / BY <br /> <br />PLAN ~CflON- <br /> <br />~:opu ~ ~u ~s-s¢ B~',, ,~mo OFFICE COPY <br /> <br /> <br />