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( <br />( <br /> <br />MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97'301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 888-7904 <br /> <br />lamareglsteredbuilderOR( )theauthodzedrepresentative <br /> <br />The work will be performed by a registered builder, <br />Other ,, , <br /> <br />?'i~0 ~ AbDRESS; <br /> <br />CONSTRUCTION TYPE; <br /> <br /> 79e HAIN ST <br />AUf'fSVI[ I,.F: OR 97;~,25 AUHSViLLE : NO <br /> <br />64? ~::UREKA AVE <br />S:U..VERI'OI~ OR 773~1 SITE NUMBER: 94-~2168 <br />PI.lONE: 873-4598 VAL..UATION~ <br /> <br />CATEGORY: <br /> <br /> COHHEF<£;ZAL <br />OCCUPANCY; <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION <br /> <br />?N'FRACTOR,, <br />E It.LUP,, WOODROW <br />649 EUREKA AVE <br />SII,.VERTON~ OR 973.~], <br />PHONE: 873'-4398 <br /> <br /> I'fEN <br />BUILDING FlEE <br />PI.AN REVIEW <br />BUILDING STAI'E SURCHARGE <br /> <br /> 9855468 <br /> <br />AF(CHI TECT/.F. NG I NEER ~ <br /> <br />PHONE: <br /> <br />TO'IFAL ASSEB,~ED FEES <br />PREVIOIJS RECEIPTS <br />THIS RECEIP'r <br /> <br />BAI,,ANCE Dt,IE <br /> <br />NO. <br /> <br /> EA~EE. BII._I_UI,,,, WOODROW <br /> RECEIVED BY: I~H .................................................... TYPt--: <br /> <br />* THIS IS HOT A PERMIT. ' THIS APPLICATION MUST GO THROUGH ~ REVIEW PROCESS WHERE THE <br />FOLLOWING MUST BE COHPLETED.,, I~ IS THE, RESPONSIbILiTY OF THE ~PPLICANT TO ~SSURE THaT <br /> LL NECESSARY INFORMATION HAS BEEN PROVIgED. <br /> <br />QUANTITY AffOUNf <br /> <br /> $85 86 <br /> <br /> 57936 <br /> IN CHECK ~: <br /> <br />ZOMINf;. BY /j_,, DATE'" ........ <br /> <br />C1]¥ JURISD:[CTION: BY .............. DATE .................. <br /> <br />I',;;~H~RKS;; HIM1; STORAGE= FACILITIES <br /> <br />HEIGHT: SETBACKS: ;-r.,. N/A <br />TOTAL SQ Fl': 216 1..S / <br />STORIES: :L :48"'/ <br />PL~. ACTIQNr., RR / <br />EIqEREY PATH, SF .... <br /> <br />OFFICE COPY <br /> <br /> <br />