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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 <br />CODE-A-PHONE 4:30 RM. - 8:00 A,M, <br /> <br />I am peeformieg work on a properly I own or Occupy, <br />I am a registered builder OR tbs authorizes representative <br />of ¢ reg stered builder, <br />The work will be performed by a registered builder. <br />Other <br /> <br />I dave read and acjroe to the terms stated on the reverse side Of <br />this document. <br /> <br />¢~;~T~E: 09/01/90 TIME; <br /> WADSWORTH , JOE <br />SITUS ADDRESS: <br /> <br /> 995 OLNEY ST <br />AUMSVILLE <br /> <br />t2:54:23 <br /> <br />OR 9?325 <br /> <br /> 52283-206 <br /> 5-N <br />AUMSVI LLE NO <br /> <br />MAILING ADDRESS: OTHER NON--RESIDENTIAL BUILDINGS <br /> <br />CATEGORY: <br /> C(~IME RC i AL <br />OCCUPANCY: <br /> <br />PO BOX 170 <br />AUNSVILLE OR 9?325 <br />PHONE: 364-8479 <br /> <br />LOT; SLOCK~ SECTION: TOWNSHIp: <br /> 100 200 20000. <br /> <br />SITE NUMBER: <br /> VALUAT I ON: <br />RANOE~ <br /> <br /> 9529 <br /> $31 ,SOO.Q0 <br />ZONE: MAP: <br /> <br />8S IRREG LOT; 2~J CORN[-H: I D <br />SF NO NO <br /> <br />51 <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR. NO. <br />WADSNORTH, JOE <br />PO BOX 170 <br />AUivLSVILLE OR 9?325 <br />PHONE: 364~8479 <br /> <br /> ITEM <br />BUILOING FEE <br />PLAN REVZEN <br />FLEET SURCHARGE ~ZONE 3 <br />DUILBING STATE SURCHARGE <br /> <br /> 9022185 <br />ARCHITECT/ENGINEER, NO_ <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QU/~,NTITY <br /> <br />AMOUNT <br /> $202,00 <br /> $131.30 <br /> $3.84 <br /> $10.10 <br /> <br />$.'34,?. 24 <br /> 388 <br /> -$1 <br /> <br />BALANCE DUE $0.00 <br /> <br /> PAYEE: WA~3,'C3RTH, JOE /j/"', ¢~"Cm'7-?'~'-'~') 23533 <br /> <br />* THIS lo NOT ¢ P~RM]T. TH,IS':jA~E~CA%ION NUST,,C~D'TH~REVIEW PROCESS WHERE THE <br />FOLLOWING MUST BE CONPLETE0. }~;~¢,{~,,%HE" 'RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />ALL NECFSSSARY INFORMATION HA,G <br /> <br /> /¢/ CITY JURISDICTION: BY BATE . <br /> <br /> SEPTIC: BY .................................... BATE .................................................. <br /> / / <br /> <br /> REMARKvS: MINI STORAGE 8LDGS <br /> TOTAL SQ ~= 4gO:O $TORZES.' % PLAN.ACTZON: <br /> <br />. ' ~'MCIS.~. ~sv.,~ OFFICE COPY <br /> <br /> <br />