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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: 5~-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />l am a registered builder OR ( )theauthorizedrepresentahve <br /> <br />The work will be oerformed by 8 registered builder. <br />Othor <br /> <br /> OnTE:, 07/Z8/~ ..... TIHE: ¢' :.S Z.-'..;~.8 ..... <br /> <br /> CUMMINGS TRANSFER CO <br /> <br /> 810 MAIN ST <br /> AUHSVILLE OR 97325 <br /> <br />USE OF BUILDING; .......... <br /> STRUCTURES OTHER THAN BUILDINGS <br /> <br />TA×LOT: .... C~TEGORY; <br />90010-160 COMMERCIAL <br />CONSTRUCTION TYPE: OCCgRANCY: <br />5-N ? <br /> ~CCUPANT LOAD. <br />CONTRACT CITY UG~ <br />~UMSVILLE NO <br /> <br /> .......... 'NO OF BEDROOMS: <br /> <br /> AUMSVILLE ADDITION <br /> PO BOX 82.6 ............ <br /> ALBANY OR 97;~21 SITE NUMBER: <br /> PHONE: 928-3585 VALUATION: <br /> <br />LOT' ~ BLOCK'. TOWN'~'I~i .... RANGE: <br /> 62 lO0 6200. SI= NO <br /> <br /> 92~0267% <br /> $~0,000.00 <br /> <br />'ZONE: MAP: <br /> <br />'CORNER; <br /> YES <br /> <br />TYPE: BUILDIN6 PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 40452 <br /> Oouble R Products <br />90i NW E St <br />Grants Pas~, 97526 <br />PHONE: 476-2~67 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />BUILDIN~ STATE $URCHARGE <br /> <br />PAYEE: <br /> <br /> 41397 <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br /> THIS RECEIPT <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> <br /> $4.03 <br /> <br />$156~86 <br /> <br /> $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br /> RECEIVED GY~ PW ................ TYPE: CHECK ~: 0 <br /> <br />· THIS IS A VALID PERNIT. THIS PERHIT EXPIRES LSO DaYS FRO~ ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OFiSO DAYS, ORIF CONSTRUCTION FAILS TO ~E[ET aLL <br />EQUIRENENTS OF STATE LANSaND HARION COUNTY BUILDING ANOZONING ORDINANCES, THIS PERMIT <br />SALL BECOME NULL AND VO[O. <br /> <br /> HEIGHT: ~8 SETBACKS: FR 0 <br /> TOTAL SQFT: 400 LS-O <br /> STORIES: RS~O <br /> PLAN.ACTION: RR_O <br /> ENERGY PATH: SP .... <br /> <br />REMARKS: CANOPY OVER GAS PUMPS <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY ............................. <br /> <br />OFFICE COPY <br /> <br /> <br />