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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 P,M. - 8;00 A,M, <br /> <br /> 290 CLEVELAND <br />-,,_,, ~q I,...,: <br /> <br />SIGNATUR~ O¢ APPLICANT: <br /> <br />CATE; <br /> <br />TAX LOT: <br /> <br /> i CONSTRBdTION ?~PE: <br /> 5N <br /> <br />OR 97325 <br /> ~,LSHSVI LLE NO <br /> <br />MAILING A~DRESB; SINGLE FAM~,L;Y ~ELL. IN~ <br /> <br />3322 BLUFF SE <br />PHONE: <br /> <br />LOT: BLOCK; <br /> <br />WIBTH: DEPTH: <br /> '00 <br /> <br />OccuPANT LOAC; <br /> <br />~vl~r.R I F.. ELO ADON <br /> <br /> SiTE NUNIBER; 3586 <br /> <br />AREA: i UNITS: , IRREG· LOT; iCOR~ER: <br /> 56(30, OO ' SF ~ NO i "~'E,'-3 <br /> <br />TYPE: BUILDING PERRI-F OI~ AP, ~_I~A, .Oi* <br /> <br />,JOHNSON. BENTLEY 8, <br />3488 PECK AVE <br />SALE~ <br />?hQ)NS: ,.~7,.,'~8~ ,.. <br /> <br /> I -F'Erv <br />~L/!:LL)~NG FEE <br />FLEET SL;RO"IARGE -ZONE <br /> <br />NO: 6684- <br /> AF<CH,, , E,..-T/ENGINEER, NO- <br /> <br />F~fONE: <br /> <br />QUANT ~ "'Y <br /> <br />:T, OTA~ ,~S~ED FEES <br />: PREVIOUS RECEIPTS <br />THIS :RECEIPT <br /> <br /> CE <br /> <br />PAYEE: .,O, wq~ON, BENTLEY <br />';.E(":W~0 'aY'~ ct' TYPE';,'RF (¢,,:C~, at: <br />THIS IS 1'407 A <br /> <br />RE~,a, RKS: REFUNC) C)? DER~4IT <br />HEIGHT; - ~ ~ t~ F~ "~" ' <br /> :O;.,.s, .... O - STORIES; >~,a,N.A. .ON: <br /> <br />r:o~,~ * Mr, ~ 5.5e R~V ~/~ OFFICE COPY <br /> <br /> <br />