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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 />of a registered builder. <br /> <br />Other. <br /> <br /> DATE.* 05/08/92 TiMEz 9:03:36 <br />OWNER; <br /> CiTY OF AuMSViLLE <br /> <br />SITUS ADDRESS; <br /> <br /> 125 6'FH <br />AUIvE~VI LLE OR 9?325 <br /> <br />SIGNATURE OF APPLICANT; <br /> <br /> TAX LOT. <br /> 90080-5 <br /> <br />' CONSTRUCTION TYPE <br /> <br /> CONTRACT CfT¥. JGB <br /> ~J..l~V i LLE NO <br /> <br />USE OF BUILDING: <br /> PUBLIC WIORKS AND U'f'ILI'FIES 8UiLDiNG~ <br />MAILING ADDRESS SUBDIVIB <br /> <br />PO BOX 22? <br />AUM~VILLE OR 97325 <br />PHGNE: ?49-2030 <br /> <br />LOT: BLOCK: SEC~ioNz <br />718 11 <br /> <br />CATEGORY <br /> <br />DCCUPANC' <br /> <br />OCCUPANT LOA£ <br /> <br />MERREFi ELDS AUUN <br /> <br /> SiTE NUMBER: 92-01984 <br /> VALUATION: $3,000.00 <br /> <br /> TOWNSHIP: RANGE ZONE ~A~, <br /> 25 8S 2W C074 <br /> <br />8100. UNITS= SF RREG. LOT: NO CORNER:yEs <br /> <br />COMMERCIAL <br /> <br />'~5DEPTH; 108 AREA; <br /> <br />TYPE: BUiLDiNG PERNi'F OR APPLICATION NO: <br /> <br />CONfRACTOR, NO. 51352 <br /> Rca O~tpuction imm <br />PO Box 617 <br />S~ytc~, 9?383-0000 <br />PHONE: 769-5505 <br /> <br /> i'f'E¢4 <br />BUILDING FEE <br />PLAN REVIE~ <br />BUILDING STATE SURCHARGE <br /> <br />PAYEE: <br /> <br /> 40198 <br />ARCHiTECT/ENGINEER, NO- <br /> <br />TOTAL ASSE~ED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEiP'F <br /> <br />QUANTi'T'Y <br /> <br />ANOUN'I' <br /> $38.50 <br /> $25.03 <br /> $1.93 <br /> <br />$65.46 <br />$65.45 <br /> $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br /> RECEIVED BY: PB ..................................................................................................... TYPE: CHECK ~: O <br /> <br />;~ THIS 19 A VALID PEP34iI' * THiS PER~I'f' ~;XPlRES 180 DAYS P'R~ ITS i~E DALE. iF' <br />~S'f'~O'f'~ C~E~ FOR A PERIOD OF 18~ DAYS, OR IF ~S'f~C'f'i~ FA~ 'rD MEET ALL <br />REOU~RE~EN']'S O~ STATE LA~ ~D ~R~ ~NI'Y BUiLDiNG ~D Z~tNG OROINANC~, ']'HI5 PER~J]' <br />~ALL BEdE NULL ~D VOID. <br /> <br />ENERGY PATH: <br /> <br />SETBACKS: FR / LS / R~ / RR / SP <br />REFIARKS GABEE ROOF' FOR ¢'YOLICE'"'DEP'I ................... <br /> <br />HEIGHT: TOTAL SO F'F: 1088 ~'FORiES: <br /> <br />DONALD E, WOOBLEY, MARION COUNTY BUiLDiNG OFFiCiAL / BY <br /> <br />PLAN.ACTiON: <br /> <br /> OFFICE COPY <br />FORM # M~ 15-58 REV, 4/99 <br /> <br /> <br />