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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 9'7301 <br /> <br /> PHONE: 588-5147 800 - 430 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />SIGNATURE OF ARPLICANI <br /> <br /> DATE <br /> <br />OWN~)~ I E.+ 05/03,/9 '~ 'rIME: <br /> NADSNORIH, <br /> <br />9:26:35 <br /> <br /> 985 QLNb¥ 8T <br />AU~VILLB OR 97325 <br /> <br /> TAX LOT <br /> 52283-206 <br /> CONSTRUCTION TYPE <br /> <br />AUIVffSV I LLE NO <br /> <br />CATEGORY <br /> <br /> COf41vERC 1 AL <br /> <br />M~I~NG *~:,UHb~ O~HER NON-RF-.~iDS~ITiAL BUILOIN(~' ,~UBDIVlSION <br /> <br />PO BOX 170 <br />AU~ViLLE OR 9'1325 <br />PMONE: 364-84?9 <br /> <br />LOl BLOCK SECTION TOWNSHIP <br /> 25 8S <br /> 249 318 ?9182. <br /> <br />SiTE NUMBER: <br /> VALUAT i ON: <br /> <br /> 2~ <br />IRRBG LOT <br /> NO <br /> <br /> 10345 <br /> $80,000.00 <br /> <br /> IND <br />CORNER <br /> <br /> NO <br /> <br />51 <br /> <br />TYPE: BUILDING PERfflll OR APPLICATION NO: 9031952 <br /> <br />CONTRACTOR, NO, 55?60 <br />J.M. WADSHOR~H <br />BOX 170 <br />AU~VILLE OR 97325 <br />PMONE: 749-3200 <br /> <br />BU ILDtN6 FEE <br />PLAN RE¥ i EIN <br />BUILDING ~TAFE SURCHARGE <br />ZONING SURCHARGE <br /> <br />AF~dlTECT/ENGINEER, NO+ ~ULFI <br />I~UL'fI/IECH <br />1155 13FH SF SE <br />SALF_.P1 OR 97~02 <br />PHONE: 363-9227 <br /> <br />6UANI'IIY <br /> <br />Af4OUNf <br /> $373.00 <br /> $242.45 <br /> $18,85 <br /> $18.B5 <br /> <br /> TOTAL Af$~EJZ%.~EO PEE~ $652~ ?5 <br /> PREWI OUS RECEi PIS $0.00 <br /> THIS RECEIP'r $552.'~5 <br /> <br /> BALANCE DUE $0.OO <br /> PAYEE: J.M. ~AOE~OR'fH 33?34 <br /> RECEIVED BY: PR 1YPE: IN O~ECK ~: 0 <br /> <br /> ~ THI3 i~ NO1 A PEril. THIS APPLICATI~ <br />FOLL~iNG ~Sr 8E ~PLEFED+ IT i~ THE R~SI~ILI'fY OF ~HE APPLiC~F ~0 ~RE FHA~ <br />ALL NEC~ iNFO~II~ H~ BEEN <br /> <br />PLAN Rk¥1~W: eY _-?.O___ DArE ......... .g'~)?_[ <br /> <br /> CiTY JURISDJClJON: BY <br /> <br />SEPtic: BY DAre <br />ZONING: BY DA'rE SEIBACKS~ FR./ L~,/ AT~./ RR./ 3P <br /> <br />HglGHI: 14 TOTAL ~ 8000 ~IORIES: 1 PL~.ACTI~ <br /> <br />DA I E <br /> <br />FORM # MO 15-56 REV 4/90 OFFICE COPY <br /> <br /> <br />