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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: S88-7904 <br /> <br />I am performing work on aproperty I own or occupy, <br /> <br />DATE: 03/02/94 TIHE:, 14:~3:5J .......... , <br />FAITH~ BONNA ~ ~8~13-061 ~RESIDENTIAL <br /> <br /> AOHSViLLETB~ 9ELHAR ST OR ~7~25-- 'S6~f~Yd'~V"AUMSVILLE l'O¥~NO ~O~N~'~O~O, ~¥ <br /> PLAN REVIEW ONLY , <br /> <br /> [ AUffSVILLE HEADOWS <br /> 2157 BROA~VlEW CT NW ~ <br /> PHONE: 581-8776 ~ VALUATION: $8.8& <br /> 94 752~. ; ~0 <br /> <br />TYPE: BUILOING PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR~ NO. <br />FAITH. DONNA ¢/ <br />21o7 BROADVIEW CT NW <br />SALEM~ OR ~7~04 <br />PHONE: 581-8736 <br /> <br /> ITEH <br />ADBITIONAI,. BIJILBING FEES <br /> <br />PAYEE: G A HADLEY BOILER~ INC <br /> <br /> ?853245 <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AHOUNT <br /> <br />$40.00 <br /> $0.00 <br />$40.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />55704 <br /> <br /> RECEIVED BY: MB TYPE: CI_ CHECK ~: 5030 <br />$ THIS I~ NO~ A PERMIT. THIS ,~PPLICATIOH",USq>.gO.:.,TNROUGH A REVIE~ PROCESS WHERE THE <br />FOLLO~ING MUST BE CONPLETED. ~T ~5,'ll4E "RF_~,PO~iBILITY OF THE APPLICANT TO A~SURE THAT <br /> LL HECESSAEY INFORHATION HAS BEEN PRGV~]DE~. <br /> <br />PLAN RE¥IEW: BY ~ DATE__~--~-~ <br />ZQHING: BY .......... <br />SEPTIC: BY--] .............. BATE ---'--]Z]- <br /> <br />CITY JURISDICTION. BY BATE <br /> <br />REHARKS: PATH RE¥ISON ON RES PATH 1 TO 8 <br /> <br />~EI'GHT: SETBACKS: FR <br />TOTAL SQ FT: 0 L.S ....... <br />STORIES: RS <br />PLAN. ACTION: RR ...... <br />ENERGY PATH: 8 <br /> <br />OFFICE COPY <br /> <br /> <br />