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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-$147 8::00 - 4:30 <br />24 HOUR CODE-A-PHONE:: ~88-7904 <br /> <br />Other <br /> <br />I have read and agree to the terms stated on the reverse side of <br /> <br />SIGNATURE OF APPLICANT <br /> gATE <br /> <br /> DA~E: 03/00/02 IiME: 15:49:04 <br />OWNER <br /> <br /> BREIYENBUSH COMIVlUNIfY <br /> <br />OgfROIf <br /> <br />UPPER RE~ORF SE <br /> OR <br /> <br />TAX LOT <br /> <br />CONSTRUCTION IYPE <br /> <br /> 5-N <br />CONTRACT CITY UGB <br /> <br />MAR;ON COUN JY NO <br /> <br />CATEGORY <br /> <br /> COM~4ERC f AL <br /> <br />MAILING ADDRESS PUBLIC WORKS AND UflLif'i~5 BUiLDi~vlsloN <br /> <br />PO BOX b'f8 <br />DE[ROi/ 97342 <br />PHONE: 864,--3bO1 <br /> <br />LOT BLOCK SECTION ~OWN~HIP <br /> 20 95 <br /> 85. AC <br /> <br /> SItE NUMBER: 92-00802 <br /> VALUA [ ION; $2,40(3,00 <br />RANGE ZONE MAP <br /> <br /> 'TE P <br />IRREG LOT CORNER <br /> <br /> NO NO <br /> <br />~02 <br /> <br />TYPE: BUILDING RgRMil OR APPLICATION NO: 38438 <br /> <br />CONTRACTOR, NO_ <br />BREiYENBUSH COMMUNIiY <br />PO BOX 578 <br />OETROi] 9f342 <br />PHONE: 854-3501 <br /> <br />ARC~i¥ECf/E. NGINEgR, NO, <br />PHONE: <br /> <br /> ~ {EM QUAN/I 1Y AMOUNf <br /> BLJ [LOiNG FEE $38.50 <br /> PLAN REVIEW $25,, 03 <br /> WU l LDING 5 ? f E .SURCHA~E ~- $ ] - 93 <br /> <br /> PR~VI~ RECEIPTS 'A ' ,~ / $6~.39 <br /> <br /> 8A~C~ ~ ~ $o.oo <br /> <br />* H'415 15 A VALID PgRMII * ~Hi5 PB~[1 EXPIRES 180 D4Y5 PROM lis 15~ BAIL, tP <br />~NSf~CfION CE~5 ROR A PERIOD OF 180 DAYS, OR i~' ~NSr~CflON FAIL5 fO MEET ALL <br />RE~UIREMbNT50P STATE ~5 ~Q MARi~ C~N~Y BUILDING ~D ZONING ORDINANCES, IHI5 P~RMtT <br />~ALL BECOME NULL AND VOID. <br /> <br />~blBACK~: PR 20 LS 10 ~ 10 RR 30 SP <br />REMARKS: MECRANiCAL'SRED ....... <br /> <br />HEIGHT: ~O TOTAL 5Q PT: 01 SiORiES: ~ <br /> <br />DONALD E_ WOOOL~Y, fv~RZON COUNTY BUILDING OFPICiAL, / MY <br /> <br />PLAN,ACfiON: <br /> <br />OFFICE COPY <br /> <br /> <br />