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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 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />OWNER: <br /> OA'T'E: 05j01/91 <br /> <br />S~T(.IS Al3 D R E S~:~ i LLUP, N. E. <br /> <br />'T'iME: 10:05:40 <br /> <br />CONSTRUCTION TYPE ~O '] 0--220 OCCUPANCY: <br /> <br />Cb~MERCiAL <br /> <br /> ?90 MAIN S'f <br />use <br /> <br />OR97325 <br /> <br /> 649 EUREKA AVE <br /> SiLVERI'ON, OR 97381 <br /> PHONE: 8?3-5296 <br />LOT: BLOCK: <br /> <br />DEPTH ~ 0 AREA <br /> <br />CONTRACT CITY: f~Ul~: OCCUPANT LO~ <br />AUMSVl LIE NO <br /> <br />AUIV~VILLE ADDiIION <br /> <br /> SiTE NUMBER: · ~-.~. <br /> RANc-CALUAT ] ON :. ZONE $0.0~P: <br /> <br /> Ri~EG LOT 6ORN~ <br />8S 2N C <br /> <br />~P NO ~t'E~ <br /> <br />'f'YPE; BUILDING PERNI'f' OR APPLICATION NO: <br /> <br />31871 <br /> <br />CONTRACTOR, NO. 86152 <br />NOR~tAN C~JALE¥ <br />3995 ED~BON RD NE <br />SIL.VER'f'ON, OR97381 <br />PHONE: 87~-4537 <br /> <br />ARCHITECT'/ENGINEER, NO. <br />PHONE: <br /> <br /> iTEM <br />ADDi'f'iONAL BUILDING FEES <br />BUiLDiNG STATE SURCHARGE <br /> <br />QUANf'II'Y A~OUN'f' <br /> $10-00 <br /> $0.50 <br /> <br />TOTAL ASS~EO FEES <br /> PRE¥IOUS RECBIP'fS <br /> THIS RECEIPT <br /> <br />$10.50 <br /> $0.0D <br />$qo,5o <br /> <br />BALANCE DUE $0.00 <br /> <br /> 33649 <br />TYPE: IN CHECK ~: 0 <br /> <br />PAYEE; NORMAN CUALEY <br />RECEIVED BY: DP .................................................................................................................. <br /> <br />SE'f'BAC~,S: F'R LS ~ <br />RE~ARKS: PARTI'AE'"'DEr40'"'0F'-'CAFE/TA?ERN <br /> <br /> ~< '['HiS IS A VALID PER~4i'r * THIS PERNiT E~PlRES 180 DAYS FROM IlS i~E DATE. IF' <br />C~5'l'R~C]'l~ C~E8 FOR A PERIOD OF' 180 DAYS, OR iF C~'T'~C'l'i~ P'Ai~ TO MEET ALL <br />RE~tRE~'TS OF' STATE ~ ~D ~ARtON C~NTY 8U1LB~N6 AND Z~NG ORDINANCES, 'f'HI~ PE~tl <br />~ALL 8EC~E NULL AND VOZD. <br /> <br /> 9o <br /> <br /> RR .................... SP ............... ~ ~' <br /> <br />DONALD E. WOODLEY, ~RiON COUNTY BUILDING OFFiCiAL / BY .................................................................................................... ..~..~.-'~- <br /> <br />FORM # MC 15.50 REV. 4/90 OFFICE COPY <br /> <br /> <br />