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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONEt 588-5147 8:00 - 4::30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />SIGNATURE OF APPLICANT <br /> <br />eWN~AfE: 0~/11/91 f'IME= 15;05;52 <br />ST sAr0~bS~BAiBERfo OiL <br /> <br />12334 EHLEN RO NE <br /> <br />SFRUCfUR~ orDER f'HAN BUILDINf.~ <br /> <br />NAR i 01~ CC~JN I Y <br /> <br />NO <br /> <br />CATEGORY <br />OCCUPANCY <br />OCCUPANT <br /> <br />22300 S~ 51ARK <br />POR f LAND OR <br />PHONE: <br /> <br />SECTION TOWNSHIP <br /> <br />SI ] E NUIvlBER: 13,03? <br />RAN(C:ALUA FION: ZONE $2,000.01~AP <br /> <br />250.. <br /> <br />'NO YE~ <br /> <br />1YPE: BUiLDiNG PEN'MI1 OR APPLiCAIlON NO: <br /> <br />CONfRAC[OR, NO. 63729 <br />CMR SiON 5YS'IEI'45 <br />10828 NN S[ HELENS RD <br />PORILAND, OR 9732~ <br />PHONE: 285-7918 <br /> <br /> lIEN <br />BUILDING FEE <br />PLAN REVIEN <br />BUILDING S~AIE r~RCHAN~E <br />ZONING ~URCHARG~ <br /> <br />PAYEE; <br /> <br /> 32392 <br />Af.~HiYECF/P~GINEER, NO. <br /> <br />PHONE: <br /> <br />fOTAL A~EO FEES <br />PREVIOUS RECEiP1S <br />FHIS RECEIPF <br /> <br />Q~JANT I 1Y <br /> <br />AMOUN[ <br /> $32.50 <br /> $21.13 <br /> <br />$56.89 <br />$56.89 <br /> $o.oo <br /> <br />BALANCE DUE $0.00 <br /> <br /> RECEIVED BY: P~ 1YPE: O~ECK ~: 0 <br /> <br />* fHI5 15 A VALID PgRMiI' * THIS PERi, Il EXPiR~ 180 DAYS FROM IlS I~E OAfg, iF <br />CON$IRUC[iON CE.~ES FOR A PERIOD OF 180 DAYS, OR IF ~sl~cri~ FAIbS FO MEEf ALL <br />RE~IREMENIS OF 51AIB ~ ~O ~Ri~ C~NTY BUILDING ~D Z~ING ORDIN~CE3, IHi5 Pg~I~ <br />~ALL BgC~E NULg ~O VOIO. <br /> <br />~E~BACK,f;5: PR 40 CL LS 0 RS 0 RR.O SP ....... <br /> <br />HEIGHI: 24 ¥'O)'AL ~EQ FT: 0 SIORIES: <br /> <br />DONALD E. WOODLEW, MARION COUNIY BUiLdING OFFICIAL / BY <br /> <br />PL/~4.ACIlO1N: <br /> <br />~ORr~ ~ ~c ~s-s~ .~ 4/~¢ OF FIC E COPY <br /> <br /> <br />