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( ) <br /> <br /> 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 />i sm ~ registered builder OR the authorized represen a ive S GNA'CURE OF APPL CANT~~, , <br />of ~ registered builder, <br /> <br /> WADSWORTH,~ .JOE I <br /> <br /> 8058 SILVER FALLS HWY SE <br /> <br />USE OF BUILDING; <br /> <br /> OTHER NON-RESIBENTIAL BUILDINGS <br /> <br /> SAHE <br /> AUHSVILLE OR 97~25 SITE <br /> PHONE: 74~-241~ <br /> <br />TYPE: BUILDIN~ PERMIT OR APPLICATION NO: 9~587~§ <br /> <br />CONTRACTOR.,NO, 92121 ARCH; <br />JERRY FLOWERS <br />5162 LONE OAK R~ SE <br />SALEM~ 97306 <br />PHONE: 585-5937 PiiONE: <br /> ITEM <br />BUIL~ING FEE <br />PLAN REVIEW <br /> <br /> =: ! FEES <br /> <br />PAYE MB ~ i; <br /> BY: i <br /> <br />No. <br /> <br />QUANTITY <br /> <br />TYPE: ~];HECK .'If: 0 <br /> <br />AMOUNT <br /> $86.50 <br /> <br /> $4.33 <br /> <br />$151.37 <br /> $0.00 <br /> <br />FOLLO~S[;I~us~TOTB~ ~I~rT}~:.*'fHI'.S,;.~.P~P~.6.A_TI_OI:I_,~,U.$._T:_I;~:xT"ROBiiH: A REVlFkl PROCESS WHER£ Tile <br /> ....... · ~ ~,::~':::,:l~k.~i"t~r'ltill~,~Ll'T¥ /SF :THE APPLTCANT TO A~$URF THaT <br /> LL NECESSARY TNFORHAT'rON :HAS B£FN PROVIDED,: ::::: <br /> <br /> F'LAN REVTEW: BY ~ ::NEt:CNT=: 15 <br /> ZONINg: BY ,~ ...... ~- TOTAL SQ <br /> SEPTIC: BYZZL.__]]]]]]]~] t 844 <br /> CITY JURISDICTION: BY , DAT, E R <br /> REMARKS: STORAGE BL, D6 , <br /> <br />FORM ~ MC 1~ R~, 4~ ~ ~ . OF FlOE COPY <br /> <br />SETBACKS: FR ~ <br /> RS'"'-~-- <br /> <br /> <br />