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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 />Other__ <br /> <br />SIGNATURE OF APPLICANT: <br /> BATE; <br /> <br /> NW DISTRICT WESLEYAN Cr, J~CH ~7000~--300 <br />SITUS ADDRESS~ CONSTRUCTION TYPS: <br /> <br /> 1:[1 MAIN ST CONTnACT Cif~: <br /> '~ AUMoV1LL. E <br /> AUMSVILLE OR ~7325 , <br /> <br /> CHURCHES AND O~H,,R RELIGtOOS BUII_DING8 <br /> ~AILING ADDRESS: ~U~OI~IS[ON: <br /> <br /> ~ATEGORY: <br /> COHMERC IAL.. <br /> OCCUPANCY: <br /> <br /> A-¥ <br />UGB[ : OCCUPANT LOAD[ <br />NO <br /> <br />PO BOX 217 <br />AUfl,'~V.f, LLE,, OR <br />PHONE: 749-2:30? <br /> <br />VALUATION: $79,632.00 <br /> <br />BLOCK: ~ECTION: TOWN~M P: RANGE'. ZONE; <br /> <br />..................... 25 ..... :. 80 ..... : .2W ..... C <br /> ' IRREG, LOT: CORNER: <br />'WIDTH: D~PTH: ;AREA[ , UNITS; ,, <br />i 1'75 , 216 3'7800.! SF NO NO <br /> <br />MAP: <br /> <br />,5]. <br /> <br />TYPE: BUILDING PERNIT OR APPLICATION NS: <br /> <br />CONTR,A. CTOR, NO& . <br />NW DISTRIC/F WE,~LE, YAH CHURCH <br />PO BOX 217 <br /> <br />F'HONE: 749-2307 <br /> <br /> I'fEH <br />BUILDING FEE <br />PLAN REVIEW <br />FIRE AND LIFE SAFETY REVIEW <br />BUII.,I)iI:N6 STATE SURCHARGE <br /> <br />PAYEE= <br /> <br /> 494~7 <br />ARCHITECT/ENGINI:ER,, NO. <br /> <br />PHONE: <br /> <br />QUANTITY <br /> <br /> TOTAL ASSESSED FEES <br />PREVIOUB RECEIPTS <br />THIS RECEIPT <br /> BAL~NCEDUE <br /> <br />AHOUNT <br /> <br /> $242.45 <br /> $149.20 <br /> $18.65 <br /> <br />$783,,30 <br /> <br /> RECEIVED BY: F'B ................... ~ .........................._ .......... TYFL, CHECK :1~: 0 <br /> <br />~ THIB I~ A VALID PERMIT. THIS PERfllT EXPIRES tUB DAYS FROM ITS I~SUE DATE. <br />CONSTRUCTION CEASES FOR A PERIOD OF 188 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br /> EQUIREMENTS OF STATE LAW~ AND HARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br /> ALL BECOME NULL AND VOID. <br /> <br />HEIGHT: SETBACKS: FR <br />TOTAL SQFT: 1770 LS-~'6 <br /> STORIES: 1 RS'-47'~ <br /> PLAN. ACTION: RR'"'~O~ <br /> ENERGY PATH: SPill] ......... <br /> <br />ADDI,t: CLASSROOHS & OFFICES FOR NW D.[olklCT WESLEYAN CHURCH <br /> <br />ENERGY PATH: <br /> <br />REHARKS: <br /> <br />DONALD E. <br /> <br />WOODL. EY¥ <br /> <br />HAR:EON COUHTY BUILDING OFFICIAL / BY .............................................................................. <br /> <br />OFFICE COPY <br /> <br /> <br />