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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: 588-7'904 <br /> <br />Othor_= , <br /> <br />: OWNE~: DATE: <br /> <br /> s~rus AO~Z~ FRANK <br /> <br />TIME: <br /> <br />CATEGORY: <br /> <br /> ; C~.W~AE'r OilY: U~e: O([I~M[ANT LOAD: <br /> 140 SP~IJCE CT 18 <br /> AUHS~IL]_E OR ~Z325 AU~ILLE ND <br />U~E 0¢ BUiLDiNG; NO 0F BEDROOMS: <br /> <br /> RESIDEHT~AI ACCE.>SQRY STRU~TURE,S ,SO~O~v~si6~: <br />MAILING AODR~S: .... <br /> <br />1291 LEO ST NE f~:VERGREEN ESTATES <br />.S,'AI...Ef4 OF( 97303 SiTE NUH]~£R: <br />FHONE., 390-¢~887 VALUATION: $2~ <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION <br /> <br />COH'TRAC'FOR, 1,10. 42256 <br /> CAPI'rOL AWN](NG <br />5655 Commer¢iaI ~{: SE bruit F <br />Salm% 97J02 <br />PHONE: <br /> <br /> ITE~ <br />BUILDING FEE <br />PI.AH REVIEW <br />BUILDING STATE SURC~Ar<GE <br /> <br />ARCHI 1ECT/ENG INEE. k,~ NO. <br /> <br />PHONE.. <br /> <br />TOTAL ASSESSE~ FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANGE DUE <br /> <br />QUANTITY <br /> <br />A OU T <br /> $30.5~ <br /> $25.03 <br /> <br />$65.46 <br /> $8.00 <br />$65.46 <br /> <br /> F]AYEE: DAVID HAU6 ~ 479~1 <br /> RECEIVED BY~ F'B ............................ ,,¢¢~_ TYPE: ]'FI CHECK ~: 0 <br />~ THIS IS NOT &'PERMIT. THIS APPLICATION HUST GO THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING MUST ~E COMPLETED, IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br /> LL NECESSARY ~NFOR~ATIO~HASBEEN PROVIDEO. <br /> <br /> ZONING: BY ...... 2~;~Z .... 9ATE ................... TOTAL Se FT: <br /> <br /> . , PLAN. ACTION: <br /> CITY ,.,RIS~].,fI. ON~ BY DATE ENERGY PATH: .... . .... <br /> REHAkKS: CA; POR'f <br /> <br />OFFIC~ COPY <br /> <br /> <br />