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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREI::T NE <br /> SALEM~ OREGON 97301 <br /> <br /> PHONE: 588-5;147 8:00 - 4:S0 <br />24 HOUR CODIE-A-PHONE: 888-7904 <br /> <br />J have read 8nd 8gree to the terms stated on the reverse side <br /> <br /> 805.~ MIL. L CREEK RD SE ~¢ONTRACTOITY: ~ UGh'. ~OOOUPANT LOAD , <br /> <br />AUMSVILLE OR 77~2~ ~ MAR~OIq COUNTY] NO <br /> <br /> . <br />OTHER NON-.RESZDENT~L BU~L. DZN6S ~ , ,; <br /> <br />SAME <br /> , SITE NUHBER: 93-82667 : <br />PHONE: <br /> <br />TYPE: BUILDINg <br /> <br />CONTRACTOR, NO. <br />EYERLY, DONALD G <br />SAME <br /> <br />PERHIT OR APPLICATIOH <br /> <br /> ~488&8 <br />ARCMITECT/ENGINEER, NO,, <br /> <br />PNONE: 747--1260 ~HONE: <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />BUII..I)IN6 STATE SURCI-IARGE <br />ZON Il,lC. SURCRARGE <br /> <br />~AYEE: EYERLY,, DONALD <br />RECEIVED BY: CL <br /> <br /> TOTAL, ASSESSED FEES <br /> . FREVIOUS RECEIPTS <br />-"::',,:TM~$-RECEIPT <br /> <br /> BALANCE' DUE <br /> <br />OUANI'ITY <br /> <br /> AMOUNT <br /> $220.00 <br /> $143.00 <br /> $11.00 <br /> $11.00 <br /> <br /> $385.88 <br /> $0.00 <br /> $~85.00 <br /> <br /> $0.00 <br />511~2 <br /> <br />===::=======:=:== .... ===========__:__ TY E. CK CHECK ~. 17~,4 <br /> <br /> · N PROVIDED. ' ' <br /> <br />ZONING: ~Y__.._~..~:I=-_$%.-Z DAT~'-~-"".,~."f~3"2- '~TOTAL SO FT: 2400 <br /> : STORIES: 1 <br /> PLANn ACTION: <br />CITY JURISDICTION: BYL2%,.,~.:;..2' DATE.,.~,.,2__.~.,~ 'ENERGY PATH: ~ <br />REMARKS: BU,. ACC GARAGE <br /> <br />ol:T~, ACKS. PR <br /> LS-~ <br /> R S -';,'-"~7 <br /> <br />FORM Cf MC ,5-58 REV, 4/94) OFFICE COPY <br /> <br /> <br />