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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 8::00 - 4::30 <br /> 24 HOUR CODE-A-PHONE:: 588-7904 ,.-',.n <br /> <br />of a reCj~stcrod budder <br />The ~ork wdl he performed by a registered buildor <br />Othor <br /> <br />DALE: 02/19/91 TIME= 11:45:.48 <br />AUf¢:SVtLLE OR 97325 <br /> <br /> TAX LOT CAT~COSY <br /> REStDEN I/AL <br /> CONSTRUCTION TYPE OCCUPANCY <br /> <br /> 5-N M-1 <br /> CONTRAST CITY tJ~E~ OCCUPANT LOAD <br /> <br />f~ARION (¢YOUN 1 Y NO <br /> <br />MAILING ADDRESS RESI OENr iAL ACC~RY STRUCTURES <br /> <br />PHONE= 749-2802 <br /> <br /> 252 544 137088 <br /> <br /> 81TE NUMBER .- <br /> VALUA r [ ON: <br /> RANGE <br /> <br />8S <br /> IRREG LOT <br /> <br />SF NO <br /> <br /> 12344 <br /> $300.00 <br />ZONE MAP <br /> <br />CORNER <br /> <br /> NO <br /> <br />IYPE: BUILDING PER~III' OR APPLiCAIlON NO: <br /> <br />CON )"R~C [OR. NO. <br />PALAN IUK, fflARGARE l <br /> <br /> 9030461 <br />ARCHiFECT/PJ~4GINEER, NO. <br /> <br />PHONE: 749-2802 <br /> <br /> 1 l'Er~ <br />8u iLO[NC F:EE <br />PLAN RE¥ i DiN <br />BUiLDiNG StAfF ~RO'HARGE <br />ZON lNG ,~URCBAR~E <br /> <br />'FO'rAL A.SSEC~EO FEES <br />PR~'CIOUS RECEiPTB <br />tHiS RECE[PT <br /> <br />BALANCE DUE <br /> <br />PAYEE: PAL.~C4IUK, tv~ARGARE'F <br />RECEIVED BY: C'I TYPE: CK <br /> <br />QUA4WtltY AE4DUNI <br /> $10.00 <br /> $6.50 <br /> 0.50 <br /> $0.50 <br /> <br /> $¥¢.50 <br /> $o.0o <br /> $~?.5o <br /> <br /> $0.00 <br /> <br /> 32182 <br />CHECK ~: 1178 <br /> <br />* 1HI~ If5 NOI A PERffll'f. 1HiS APPLiCATiON IvLISI (~) l'HRf.~JCq-I A REVIEW PROCESS IAHERI~ 'IH~- <br />FOLL()N.I, NG NUS'f BE ~PLErED.~ IT 1S 'tHE RE,G~SiBILiTY ,OF tHE APPLICANF FO ~RE FHA~' <br />ALL NEO~ARY INP~ORiV[AI ION M~ BEEN PROVIDED. <br /> <br />OilY JURiSDICIION: 8Y DATE <br /> <br />SP <br /> <br />FORM # MC 15-56 R~V 4¢B0 OFFICE COPY <br /> <br /> <br />