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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 />OtherThe'~°rkwiNbeper~°rmedbyaregisteredbuilder' <br /> <br />S~TUS ADORE,%~:OHN~N, J]~ <br /> <br />]9872 OLt4!5'r~D RE) <br /> <br />RE~iOENI',[.AL AC'CES.SORY S"rRtJCTURE~ <br /> <br />L)AY 692-2420 <br /> <br />SECTION <br /> <br /> E.,[ TE NUC48-ER: , 580 <br />TOW~S.m. ~AN,¥~t. LUA-ri(,,tN,' ZONE: $9,000.0~^P. <br /> 'CORNER: <br />~NITS 4,~ IRREG. LOT 1~ ' E~2'U'~'~' <br /> <br /> AC i',10 mu <br /> <br />TYPE: BUiLD[NC PERf"Ilf OR APPLICATION NO: <br /> <br />O~N'f'RAC'[OR, NO. 68052 <br /> <br />~OBBURN OR 97071 <br />PHONE: 585-0154 <br /> <br />8UtLOING FEE <br />PLAN REVIE~ <br />8UtLDiN~ SLATE <br />Z~iNG <br /> <br /> 903O8?3 <br />ARCHI'FECT/ENGtNEER, NO. <br /> <br />TOTAL ~E,~J~EO FE~ <br />PRE"V~OIJ~ RECEIPTS <br />THiS RECEIPT <br /> <br />QUAN']'I'I'Y <br /> <br />A~qOJN [' <br /> $74_ 50 <br /> <br /> $~_ ? .'.:¢ <br /> $3.73 <br /> <br />$130.39 <br /> $o.o0 <br /> <br />BALANCE DUE $0. OD <br /> <br /> PAYEE; JiM~IY JC.~-IN~ &.4') , 32400 <br /> RECE[VED BY; PfC ~--~D.I.~ .... ' 'fYPEt OK CHECK ~: 340 <br /> <br /> :~ fHiS i~ NOT A PER~i'f'. 1HiS.APPLiCA'flON ~U~T GO l'H~ A REVIEW PROC~ ~ERE THE <br />FOLL~1NG MUB'I' BE C~PLETEO. z'f' iS THE R~$1B~LITY OF THE APPLZ6~'t' 'f'O A~JRE I'HAT <br />ALL NECESSARY [NFOR~'fI~ H~ BEEN P~ViDBB+ <br /> <br /> cirY JURISDICTION: BY ......................... DATE ...................... <br /> DATE <br /> ............. <br />G~-"~5~5 ............................... ' ......... <br /> <br /> TOTAL SQ FT: 672 SI'CRiES: PLAN,AC]'t~t <br /> <br />~o~¢ ~ u¢ ~.~ r~, 4/~o OF FlOE COPY <br /> <br /> <br />