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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 430 PM - 800 A M <br /> <br />DATE: 04/03/90 TINE: 14:11.*50 <br /> <br /> 5-N <br /> 240 PATTON RD <br />DETROIT OR 9?342 CONTRkCT CITY UGB <br /> DET~IT NO <br /> <br />DATE <br /> <br />90220-000 CO~vlERCIAL <br /> <br /> STRUCTURES OTHER THAN BUILDINGS <br /> <br /> HANF~N D ADDITION <br />P.O. BOX 563 <br />DETROIT, OR 9'7342 <br />PHONE: 854-3764 SITE NUNBER.* 9800 <br />VALUATION '. $250. O0 <br /> <br /> 1 21 I 10 5E C~ <br /> 0 ~ NO NO <br /> <br />TYPE: BUILDING PERNIT OR APPLICATION NO: 9022953 <br />CONTRACTOR, NO. O~IE ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: PHONE: <br /> <br /> ITEIfl <br />BUILDING FEE <br />PLJN~ REVIEW <br />FLEET SURCHARGE -ZONE ? <br />BUILDING STATE SURCHARGE <br /> <br />TOTAL AE,SESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY ANOUNT <br /> $10.00 <br /> [6~50 <br /> 8.96 <br /> $0.50 <br /> <br />$25.96 <br /> $o.oo <br />$25.96 <br /> <br />BALANCE I;~JE $0_00 <br /> <br />PAYEE: 24324 <br />RECEIVED BY= cl TYPE: IN CHECK ~: 0 <br /> <br />THIS IS NOT A PERi,lIT. THIS APPLICATION FL/ST GO THROUGH A REVIEN PROCE.~S NHERE THE <br />FOLLONING MUST 8E CO~IPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASE~RE THAT <br /> <br />ALL NECESSARY INFORMATION HAS BEEN PROVIDED. <br /> <br /> SEPTIC~ BY DATE <br /> ZONING: BY DATE ................. BETBACK~= FR <br /> <br /> RENARd: SI~N ~2 <br /> HEIGHT: 10 TOTAL SQ FT: 0 STORIF-~: <br /> <br />CITY JURISDICTION: BY ....... DATE <br /> <br /> LS ............RS ....... ER BP <br /> <br /> 0 PLAN.AOTION~ <br /> <br />OFF[CF'' COPY <br /> <br /> <br />