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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 <br /> <br /> I am performing work on a property ] own or occupy, <br /> <br /> of a registered builder, <br /> The work will be performed by a registered builder. <br /> Other. <br /> <br /> this document, <br /> <br /> C~LU~B 1A HELi~P'f'E~ <br /> <br /> 14452 A~D'~' RO NE <br /> AURORA OR 9'~002 CONTRACT CITY: <br /> ~RION O~NTY NO <br />us6 ~F 8UI~bIN~: .................... <br /> OTHER ............ <br />MAILING ADDRESS: GU SDIVISION'. <br /> <br />CATEGORY; <br /> COPMERC l AL <br /> <br />OCCUPANCY: <br /> <br />OSCUPANf LOAD; <br /> <br />PO BOX 3500 PORTLAND 9?208 <br />r.~JESTiONS CALL ORMONO BEAN 636-4165 <br />PHONE: BS'F-1111 SITE NUI"4BER: 92-01328 <br /> VALUA'['iON: $8,000.00 <br /> <br /> : 02 4~ 1W P <br /> CORNER~ES <br /> <br />TYPE: BUILDING PERMIT OR APPLICA'¥1ON NO; <br /> <br />CON'FRAC'fOR, NO. 66187 <br /> CLOYD R WAT'f' CONST CO <br />PO BOX 1727'~ <br />F,'ORf'LAND, 9't21?~0000 <br />F'I-iONE: ~85-0333 <br /> <br /> iTEM <br />BUILOiNG FEE <br />PLAN REVIEW <br />BUILDING S'f'A'f'E SURCHARGE <br />ZONING ~RCHARGE <br /> <br /> 39112 <br />ARC~i'f'EC'f'/ENG~NEER, NO. <br /> <br />PHONE: <br /> <br /> Q1JAN'T'i l'Y AlvfOUN 1' <br /> $68.50 <br /> <br /> $3.43 <br /> <br /> 'T'OTAL ~B~ED FEE8 $119_89 <br /> ~_ $t19-89 <br /> <br /> 8AL~CE ~E $0.00 <br /> <br /> PAYEE: .~ :::::::::, <br />· '1H~ I~ A VALID PE~I' · I'H~ PE~T EXP~R~ 180 DAYS R~ ~'I'S ~E DATE. tF <br />~S'f'~C'f'~ON C~SES FOR A PER,OD OR 180 0~, OR ZF ~TRUC'f'~ FA~L~ 'f'O MEET ALL <br />REQUIREMENTS OF STA'TE LA~ ~D MAR~ O~NTY 8U~LO~NG AND Z~tN6 ORD~N~CES, 'f'HZ~ PERMIT <br />SHALL BEdE NULL AND VOtB. <br /> <br />ENERGY <br /> <br />5Ef'BACKS: FR 20 L8 10 RS 10 RR S0 SP <br />RgMARKS: POLE 8UILD'ING APPROVE0 AS A REPEACEREN'f' OF AN ACCESSORY S'f'R~CTURE iN ORDER 'f'O <br /> COMPLY WiTH OEO S'T'ANDARDS FOR UNDERGROUND STORAGE TANKS <br />HEIGHT: 15 'f'OTAL ~ F'F: 1400 STORIES: 1 PLAN.ACTiON; <br /> <br />DONAI.D E. WOODLEY, f4ARION COUNTY 8U1LDING OFP'iCIAL / BY <br /> <br /> OFFICE COPY <br />FORM ~ MG 1 ~-56 REV, 4/t¢0 <br /> <br /> <br />