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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 />Other <br /> <br />this document. <br /> <br />WIDTH: ~OEP?H iAREA 'UNITS' j IR~E~ LOT' <br /> ~ 1.66 i AC , NO <br /> <br />TYPE: BUILBING PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR~ NO,, 757~8 <br /> VILLAGE I)I~YWAL. L <br />PO BOX 7782 <br />BEND. 97708 . "~ <br />PHONE: 389-135~ <br /> <br /> ITCH <br />~UILDINE FEE <br />PLAN REVIEW <br />BUlK. DING STATE SURCHAR[E <br />ZONING SURCHARGE <br /> <br /> 9~55818 <br />ARCHII'ECT/EN(Z[NEER~ N0. <br /> <br />PHONE: <br /> <br />PAYEE~, LEAH S ISHAH <br /> <br />TOTAt. ASSESSED FEES <br />PRE~IOUS RECEIPTS <br />THIS RECEIP'F, <br /> <br /> BALANCE DIJE <br /> <br />QUANTITY AHOUNT <br /> $16.00 <br /> $10.40 <br /> <br /> ¢0,,80 <br /> <br />$28.00 <br /> $0.00 <br />$28.00 <br /> <br /> 5748~ <br /> REC,r. IVE~) BY: PM TYPE: OK gHEgK ¢: 2',1.52 <br />· THIS IS NOT A PERflIT~ :APPLic~TioN MUST GO THRDUCH A REVIEW PROCESS WHERE THE <br />FOLLOWING MUST ~E COMPLETED~ / :IT IS :THE : RESPOHSIBiL:ITY OF THE APPLICANT TO ASSgRE THAT <br /> LL NECESSARY INFORHATION : : <br /> <br /> . ::: .~_~d~,-~: : <br /> PLAN REVIEW: BY .~:~ DATE ',~ ~:~'¢ ~ HEIGHT: 0 SETBAC(S: FR -- <br /> ~D,F(tcf, ~Y ........ ~.;]2]E--~A:TS:-'~rZE%.~%. SOTAL S~F'n I..~2 ' ' ' L~'"'~'~'" <br /> <br /> , '- PLAN. ~BT~ON: R R ~'7~ <br /> gl'fY ,JIJI~[BPZCTIOR: bY_.,__~ :D~I'Ez,~__...~ ..... E4E~ ;Y P~TH: SP '" <br /> REMARKS: DECK : <br /> <br />FORM # MO 15-56 REV. 4/90 <br /> <br /> <br />