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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />Other <br /> <br />DALE: 05/22/9] <br /> <br /> LEA f H~R~ OIL <br /> <br /> 12334 ~LF..N RD NE <br />AURORA OR 97002 <br /> <br /> CONSTRUC liON TYPE <br /> <br /> 5-N <br /> <br />MARION COUNTY <br /> <br />NO <br /> <br />COFlVlE RC i AL <br /> <br />MAILING ADOR[S8 ~:;~f R;UC [UR[~.S Of HER [H.,~4 BUILDING,5 SUBDIVISION <br /> <br />22300 SE SfARK <br />PORfLANO OR <br />PHONE; SIIB NUttiER: 1303'/ <br /> VALUAtiON: $2.000.00 <br /> <br /> 09 45 1W iD <br /> 300 250 ?bO00. SF NO YES <br /> <br />]YP~: ~UILDiNG <br /> <br />PERMIT OR APPLiCAIiON NO: <br /> <br />CONIRACIOR, NO_ 63729 <br />CIqR 5iON 5YSlEl~t5 <br />10828 NN Sf HELE. N5 RE) <br />PORTLAND, OR 9'1321 <br />PHONE: 285-7918 <br /> <br /> IiEM <br />BUiLDiNG FEE <br />PLAN REVIEW <br />BUiLDiNG 5¥AFE SURCHARGE <br />ZONING SURCHARGE <br /> <br /> 9032392 <br />ARCHIfEC~/P34GIN~ER, NO. <br /> <br />PHONE: <br /> <br />TOTAL A~ES~ED FEES <br />PREVIOUS RECE~P'f'S <br />lHI5 RECEIPT <br /> <br />BALANCE DUE <br /> <br />QUANf'iIY <br /> <br />A~IOUN I <br /> $32.50 <br /> <br /> $1_63 <br /> <br />$56.89 <br /> $o.o0 <br />$56.89 <br /> <br />$0.00 <br /> <br /> PAYEE: CMR SiGN 5YSr~ m~ 34182 <br /> <br />$ IHt5 iS NO] A PERMi1. THIS APPLiCATiON ~US] GO ]HROUGH A REVIEW PRQCE~ WHERE <br />FOLLOWING Nusr BE C~PLETED. IT IS tHE RES~NSiBILIfY OF THE APPLiC~f' f'O ~RE <br />ALL NEL;~%ARY INPORMA'~ I~ H~ BEEN P~VIOEO. <br /> <br /> ZONiNG:SEPFiC: B~BY ~ ....... DAI~DA'Ig- .......................... ~ ~8ACKS: FR~ /g5 ~ ~ R~ ~ [ RR ~/~ 5P <br /> <br /> HEiGHt: ~24 TOTAL 5Q Fl: ~ S~QRiES:' PLAN.ACTiON: <br /> <br />O[;FICE COPY <br /> <br /> <br />