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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 />I am ~ registered builder OR ( ) the authorized representative <br />of e registered builder. <br /> <br />Other <br /> <br /> DATE: 09/25/92 TIME: 15:28:06 <br /> <br />~ SitOS ADDRESS; i ~O'NSf~OCT~GN 'TYPE; : OCCUPANCY: <br /> AUMSVILLESIO EVERGREEN OR 97525 36 i ~f~T~4~LOtT~:[ jO ~; OCCUPANT LOAD'. <br /> <br />us~o~su~e~iOENTiAL ACCESSORY STRUCTURES <br /> <br /> S~HE ~ EVERGREEN ESTATES <br /> SITE NUHBER: 92-03~88 <br /> PHONE: ~ VALUATION: $5,1~0.00 <br /> <br />S6 I 25 ; 85 2W i RM <br />' WIDTH'. 55 IDE PTH" 9CI l AR~A: 4950 <br /> <br />TYPE: BUILDING <br /> <br />CONTRACTOR, NO. <br /> CAPITOL AWNING <br />518 V,ALLEYWOOD OR SE <br />Salem, 97306-0000 <br />PHONE~ ~6S~1711 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />8UILOING STATE 8URDHARGE <br /> <br />PERMIT OR APPLICATION <br />42256 <br /> <br /> 4275! <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br />QUANTITY AMOUNT <br /> $44.50 <br /> 828,93 <br /> $2.23 <br /> <br /> " ,T:OTAE ASSE'SSEO;FEES $75.66 <br /> 875.66 <br /> i:i 80.00 <br /> :; :::: ::.::::i: :.::: 8o.oo <br /> PAYEE: PB__ <br /> RECEIVED BY: i. TYPE: CHECK ~: 0 <br />z THiS IS A VALIO PERN:IT,: ITS ISSUE DATE. IF <br />COMSTRUCTION CEASES FOR~ ~:PERIOB OF FAILS TO MEET ALL <br />E~UIREMENTS OF STATE 0RDINANCES, THIS ~ER~If <br />SALL BECOME NULL AND <br /> <br /> : : :'TO'Ab S~i;FT:: 312 <br /> ENERGY PATH: <br /> ' PLaN.ACTIOn; RR~iO <br /> ENERGY PATH: SP <br /> <br /> REMARKS: CARPORT <br /> DONALD E. WOODLEY, MARION:COURTlY BUILDING' OFFICIAL / BY ........... j~ .................... <br /> <br /> OFFICE COPY <br />FORM # MC 15.56 REV. 4/90 <br /> <br /> <br />