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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 On the authorized represen[a~we <br />of a registered builder. <br />The work will be Dedormed by a registered builder, <br />Other .. <br /> <br />SIGNATURE OF APPLICANT; ........................... <br /> <br /> 227 DEI_LEVUE DR __ *~S~f~¥~l~9: UaB ~PANT LOAD- <br />~UHSV[LLE OR ~7325 AUNSWLLE ~0 <br /> <br /> 11373 MILL CREEK RD <br /> AUMSVII. LE, DR 97325 SITE NUMBER= 94-1~::1987 <br /> PHONE: 769-7?44 VALUATIDN= *3~ ~. ~ <br /> <br />~¥ ...... : ............. ]BLOCK ]'SECTION: '[TOWN~H P ........ ]~ .................... ~5~ .............. ] MAP <br /> ........... 5 ............. ...... <br /> <br />TYPE= BUILDING <br /> <br />CONi'RAgTOR~ NO. <br /> Cap:[tol Aw~J.~g <br />518 Valleyuood'Dr <br />SaleM, 97~0& <br />PHONE: ~63-1711 <br /> <br /> ITEM <br />BOIL. DING FEE <br />PLAN REVIEW <br />BUILDING ~TATE SURCHARGE <br /> <br />PERHZT OR APPLICA~ION NO: 55157 <br />~8~40 ARCHTFECT/EHGINEER~ N0. <br /> <br /> PAYEE: <br /> RECEIVED BY: PB ......... ~.. <br /> <br /> ~ THIS IS A V~LI~ <br /> <br />EflUZREHENTS OF <br /> ALL ~ECDHE NULL AND <br /> <br />PHONE: <br /> <br />QIJANTITY AMOUNT <br /> $1.?~ <br /> <br />$65.46 <br /> <br /> $8.08 <br /> <br />$0.00 <br /> <br /> TYPE: CHECK ~: 0 <br /> <br />FROH ITS ISSUE ~ATE. IF <br /> TO flEET ALL <br /> ORDINANCES, THIS PERMIT <br /> <br />ENERGY PATH: <br /> <br />REMARKS: CARPORT <br /> <br />DONALD E. WOODI. EY, MARION COUNTY BUILDING QFFICIAL / BY <br /> <br />ENERGY PATH: <br /> <br /> DEl'BACKS: FR 10 <br />300 l~ .... <br /> RS'"'~ ...... <br /> F(R-' 10 <br /> <br />For~r~ ~ r~c t s-~s ~ev. ,~mo 0 F F I C E COPY <br /> <br /> <br />