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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 performing work on a property ~ own or occupy, <br />I am a registered buitder OR the authorized representative <br />of a registered builder, <br /> <br />this document, <br /> <br />'b-W~'[~l)~Tl'-_"~" !~-670-87;)4 f'2~i ' ]i¢'~'S-~ ~-,~ ........... TAX LOT ' <br /> <br /> ¢.RESI~EHTIAL <br />~-'A ~%~' '-~Q~L~ ................................................................................................... CONSTRUCTION TYPE OCCUPANCY: <br /> <br />................ ~S~) EI¢~_~L__~ ~ Y ~I'~UnTI~B ................................................. <br /> <br /> ....... M4'~:E'~"BREE~6 '~E S"TCr"/:ES ................ <br />22:1,6 SE' 30TH <br />ALBANY~ ,O.R 97,52~ BITE NUNBEEJ <br />PHONE: 926-6454 VALUATION: $~.~000.00 <br /> <br />TYPE~ BUILDING <br /> <br />C;,O.N'I'RACTOR~ NO, <br /> Capi~'ol A~ing <br />~18 Val leywood <br />Sa 1er% ~730& <br />PHONE: 353-1711 <br /> <br /> Il'EM <br />BUILDING FEE <br /> <br />PERNIT OR APPLICATION NO: <br /> <br />98940 <br /> <br />SE <br /> <br />PAYEE: I'RANSFEEE <br />RECEIVED BY= CL <br /> <br />ARCHITECT/ENGINEER, <br /> <br />PHONE." <br /> <br />TYPE= <br /> <br />NO. <br /> <br />QUANTITY AHOUNT <br /> -$38,, 50 <br /> <br />IN <br /> <br />-$~8,50 $0~00 <br />-$38,50 <br /> 58141 <br />CHECK ~c 0 <br /> <br />"T: <br /> <br />SETBACKS: <br /> <br />;ORM # MC 15.58 REV, 4j90 OF FICE COPY <br /> <br /> <br />