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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PH'~NE:: 588-5147 8::00 ~ 4::30 <br /> 24 HOUR CODE-A-PHONE:: 588~7904 <br /> <br /> I have read and agree to the terms stated on the reverse side of <br /> <br />OAT'E: 03/28/91 TIME: 18:14:53 <br /> GREE~, JOE <br /> <br /> 11739 WARBLER I,J~NE NF <br />AURORA OR 97002 <br /> <br />U~b CJT- SUIL01NG <br /> <br />SIGNATURE OF APPLICANT <br /> CAfE <br /> <br /> TAX LOT <br /> <br /> 5~N <br /> CONTRACT CITY UGS <br /> <br />,~RiON COJNI Y <br /> <br />NO <br /> <br />CATEGORY <br /> RESI DEN1 iAL <br /> <br />OCCUPANCY <br /> <br /> M-1 <br />OCCUPANT LOAD <br /> <br />REZSIDF.~TIAL ACC~RY SrRUC'rURE.:S SUSDI~ISIO~ <br /> <br />CENIURY MEA~ <br /> <br />LOT BLOCK SECTION TOWNSHIP <br /> 6 20 <br /> <br />Sire NUIVSER: <br /> VALUAT I ON: <br /> <br /> 12434 <br /> $1,300.00 <br />ZONE MAP <br /> <br />LOT CORNER <br /> NO NO <br /> <br />f'YPE: BUILDING PER~IF OR APPLiCAFiON NO: <br /> <br />CON I RAC1OR ,. NO. 71471 <br />[OWN & COJNFRY D(C. AVAFiON <br /> <br /> 31183 <br /> <br />AROHII ECl/ENGINEER, NO. <br /> <br />~,,)ODBURN, OR 97071 <br />F~ONE: 982-1702 PHONE: <br /> <br /> i l EM <br />BUILOINS <br />PLAN RE'V t .E~W <br />BUILDING SIArE SUEC,.~ARGE <br />ZO~f lNG SU F,TCI-IA F~ g <br /> <br />PAYEE; <br /> <br />'f'OrALAE~ED FEES <br />PRE¥iDUS RECEIPTS <br />mis RECEIPf <br /> <br />gJANTiTY <br /> <br />ADDUN1 <br /> $Z2.00 <br /> $14.30 <br /> <br />$38.50 <br />$38.50 <br /> $o.oo <br /> <br />BALANCE DUE $0.00 <br /> <br /> RECEIVED BY: P'8 TYPE: CHE%K ~: 0 <br /> <br />m fH1S iS A VALID PERMiI · THiS PERMIT I~PIRF~ 180 DAYS FROM ils i,~E DALE. IF <br />~N~I~C['i~ C~ FOR A P~RiOD OF 180 ~YS, OR IF ~ST~CT[~ FAILS fO ~EEr ALL <br />RE~IREM~IS OF ~'fATE ~ ~D ~Ri~ ~N1Y BUILDING ~D Z~iNG ORDIN~CES, 1HiS PE~I~ <br />~ALL 8EC~E NULL ~O VO[O. <br /> <br />PLAN. AC1 1ON ~. <br /> <br />OFFICE COPY <br /> <br /> <br />