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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 - 4:80
<br />24. HOUR CODE-A-PHONE: 588-7904
<br />
<br />of a registered builder,
<br />
<br />Other
<br />
<br />I I~ave read and agree to the terms stated on the reverse side of
<br />this document.
<br />
<br />OWN~: DATE; OS/11/90
<br />s1"u$ AO~:~-.-UF!"~ WOODIrd:)W
<br />
<br />TAX LOT CATEGORY
<br />
<br />0~ ~T~ACT OlT'~ AGe; D U -~6'~ .........
<br />
<br />MAILIN(3 ABDR~'~i':~'II'~:R N('d'I'"RES]:bENTZAL BUtLDIHGS.
<br />
<br />LOT:
<br />
<br />WIDTh;/4
<br />
<br /> AUMSVTLLE ADDITION
<br />64? E[IF:I-"_'KA AVE
<br />StI.,VER'fOH.
<br />PHONE: 87~;--4398
<br /> VAL, UATTON: $2,~ 000.00
<br /> TOWNSHIP' ZONE; MAP:
<br />
<br />TYPE: BUIL, DIH~ PERMIT OR APPLICATION NO:
<br />
<br />CON'fRAC'Y'OR, HO,,
<br />B ZI,,UJP,,,
<br />649 I?-'UREKA AVE
<br />SILVERT3~,, R 97318'1
<br />PHOHE: 873'"4090 "
<br />
<br /> I TEH
<br />BtJIL DII,I6 FEE
<br />PI._&N REVIEH
<br />~tJIL, D:[NG STATE SURCHARGE
<br />
<br />ARCHI I ECT/EN(~,.[NEEF ~ NO,,
<br />
<br />F'HONE:
<br />
<br />TOTAL ASSESSED FEES
<br />FI EV.[OLIS REC, EZFT,~
<br />THIS IECEIP[
<br />
<br />BALANCE DIJE
<br />
<br />QUANTI'IY
<br />
<br />AMOUNT
<br /> $32,, 50
<br /> $2:1,,, 13
<br /> $1.63
<br />
<br />$ ..... 26
<br /> $0.08
<br />$55.26
<br />
<br />$0,,00
<br />
<br /> FAYE:E: BII,,,LUP. WOODROW ,.¢¢( .
<br /> RECIE]:VED BY:: F'B #Ii ..,.,.~. .................. 47~?¢_
<br />
<br /> * THIS ~S NOT A PER"IT. THIS APPLICATION ...............
<br />FOLLOUIH6 "UST ~E COHPLETE.. ZT IS THE RESPONSIDILITY OF THE APPLICANT TO ASSURE THaT
<br /> LL NECESSARY INFORHATION H~S ~EEN PROVIDED.
<br />
<br />ZONING: BY DATE
<br /> .... r ................................. iL.Z,,,,;
<br />CTTy J[JF, I~ D[.Y]ON. f~Y DA'YE
<br />
<br />RElfiARKS: ALTERATION OF STORAGE Bt,,,DG
<br />
<br />HEIGHT: i0 SEiBA[,,Ko." ..... ' "~"" F'R 0
<br />TO'FAI.. SQ F'T: 840 L,S'"'O
<br />S TOI~I E..$,.': . -,o ....
<br />PL,AN., ACTIOH., ~/'"~
<br />EHERGY PA'I"H: SF"-
<br />
<br />FO.~ ,~ ~C ~-~e .~v. 4,~o OFFICE COPY
<br />
<br />
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