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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 eutherized representatlve <br />of a registered builder. <br /> <br />this document, <br /> <br /> 125 CARMEL ~R i -- 4~ IC~TRAOTCITY; UGa; i~PANTLOAD: <br />AUHSVII_L.E OR 97~25 AUflSVILLE ] NO <br /> <br /> - - --H-Z4~. L-~E~K - E SToA ;r E~ ...................... <br /> 11373 MILL CREEK <br /> AUHSVILLE~ OR 97325 SITE. HUHBER.' 94-81976 <br /> PHONE.' 769-7744 VALUATION: <br />.................... ............. ........ .... ....... ...................... ..................... , <br /> <br />TYPE: BUILDING PERHIT OR APPLICATIOH 140: <br /> <br /> ~apl~ol <br />518 Valleywood"Dr SE <br />SaleM, 97386 <br />PHONE: '3~3-1711 <br /> <br /> ITEM <br />BUILDING FEE <br />F'LAN REVIEW <br />BUILDING STATE SURCHARGE <br /> <br /> 55141 <br />ARCHITECT/ENGINEER~ NO. <br /> <br />PHONE: <br /> <br />PAYEE: <br />RECEIVED BY: PB !;', <br /> <br /> ~ THIS IS ~ <br />COHSTRUCTZOH <br /> EOUIREHEHTS OF STATE <br /> ALL 8ECOHE HULL AND <br /> <br />TYPE: <br /> <br />QUANTITY AMOUNT <br /> $~8,,50 <br /> <br />CHECK ~: 0 <br /> <br />$65~46 <br /> $0.00 <br /> <br />90.08 <br /> <br /> iSSUE UATE. IF <br />TO HEET ALL <br />ORDiNANCES~ THIS PERMIT <br /> <br />ENERGY PAI'H~ 1 <br /> ' I ENERGY PATH: <br />REMARKS: CARPORT <br /> <br />I)ON,~L~) E. WOODLPY, MARIO~ COUN~T~ BUILDING OFFICIAL / B .................................. <br /> <br />SETBACKS: FR 10 <br /> <br /> RS'"'~ ..... <br /> RR--Ze <br /> <br />OFFICE COPY <br /> <br /> <br />