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MARION COUNTY BUILDING iNSPECTION <br />SENATORBLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE:: 588-8147 8::00 - 4::30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />) I am performing work on a property I own or Occupy <br />) Creel <br /> <br />09/17/90 rIME: <br /> <br />CI1Y OP BElROil <br /> <br />9:3~:16 <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYPE <br /> <br />cor'4MER"C I AL <br /> <br /> 150 f,:)Ei'ROl'r AVE <br />DE '[ ROi I <br /> <br />OR 9'1342 <br /> <br />DE 'FRO i 1 <br /> <br />NO <br /> <br />OCCUPANT LOI~~1 <br /> <br />MA1LIN~ AOORE~S OFFIf.,c~E, BANK, AND PROF'~IONAL 8UJBgc~.P, II~If~ <br /> <br />P.O. 8OX 589 <br />O~lROi1, OR 97342 <br />PHONE: 854~3496 <br /> <br />LOT BLOCK SECTION TOWNSHIP <br /> <br /> HA,IVlf.4ON D <br /> <br /> 5ilr~ NUMBER: <br />RANGVE~"jA F ION: ZONE <br /> <br />225 <br />$400 + 0~lAp <br /> <br />WIDTH 8 DEPTH 2 AREA UNITS <br /> <br />IRREG LOT CORNEH <br /> NO NO <br /> <br />fYPE: BUILDING PERMiF OR APPLICAFION NO: <br /> <br />C~NIRACIOR, NO+ <br />ClfY OF B~IfI~1[ <br />P.O. BOX 589 <br />DerRozr, OR 97342 <br />PHONE= 854-3496 <br /> <br />BUILDING PEE <br />P~ REVIE~ <br />PLEEf' SURCHARGE -ZONE ? <br />BUILDING SfAFE SURCHARGE <br /> <br /> 9027293 <br />ARCXHi1ECI/F::]XIGiNEER, NO. <br /> <br />TOTAL ASS~ED FEE~ <br />PRE~ClOtJS RECEIPTS <br />THIS RECEIP! <br /> <br />QUAN f I fY <br /> <br />$8.50 <br /> <br />$0.50 <br /> <br />$25.96 <br /> $o,oo <br /> <br />BAL.CC4CE EXJE $0.00 <br /> <br /> PAYEE; CIfY OF oErN-'OiT 28883 <br /> RECEIVED BY- PRM~"'7~ FYPE, <br /> iN <br /> CHECK <br /> 0 <br /> <br />~ fHI5 IS NO! A PERt4IF. tHiS APPLiCATiON MUST ~ FH~ A RE~iE~ P~ ~ER~ fHb <br />FOLL~iNG ~Sf 8E C~PLBIBB. iT iS ]HE RES~SI8iLITY OF fHE APPLIC~f ~0 ~RE ~HA~ <br />ALL NECE~ARY INFO~I~ H~ BE~ P~ViOED. <br /> <br /> PLAN <br /> REVIEW: <br /> <br /> UgPflC: BY DATE <br /> <br /> ZONING: BT DAlE S~fBACKS: PR 0 LS,0 ~ 0 RR O 5P <br /> ~RK5: MINOR INTERIOR R'~DEE'OF OFFICE <br /> <br /> HEIGHf; 8 IOIAL 5Q PI: ?00 5fQRiE5: ] PLAN.ACfi~; <br /> <br /> OFFICE COPY <br />FORM # MC 15,56 REV 4/90 <br /> <br /> <br />