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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 22,5 <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 />lamaregisteted builder OR( )theauthorizedrepresent&tive <br />of a registered builder, <br />The work will be performed by a registered builder. <br />OtRer <br /> <br /> 411 DURBIH OR i ?~'7 '~%~h~fEl'f~z ........ O~'~i ............. O~CO~AhTLOAD; <br />AUMSYIL.[.E OR 9~25 AUMSVILL. E NO <br /> <br />1859 N. 214D ST <br />JEFFEF(~ON OR 97352 SITE HUM~ER~ 94-~2258 <br />PHONE: 327-2,~15 VALUATION: $~ee.~8 <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION <br /> <br />60~I'RACTOR~ NO. ?8940 <br /> C~,pi~o;L Awninq <br />~18 Val],e~wood'Dr SE <br />PHONE: :~63--171.1 <br /> <br /> ITEM <br />BUILDING FEE <br />PL, AN REVIEW <br />BLJILDING STATE SURCHARGE <br /> <br /> 55649 <br />ARCHITECT/ENGINEER, N0. <br /> <br />QUANTITY AMOUNT <br /> $25,,02 <br /> <br />PAYEf=~ :' ~: <br />RE,,EIVED BY. LD : TYPE: CHECK .~: 0 <br /> <br />*THIS IS A <br />CUNSTRUCTIONCE~SES FOR <br /> EOUZREMENTS OF STATE <br /> ' ALL BECOME HULL AND <br /> <br />ENERGY PATH: <br /> <br />ENERGY PATH: <br /> <br />$65.48 <br />$65.46 <br /> $0.00 <br /> <br />ITS iSSUE DATE, IF <br /> FAILS TO MEET ALL <br /> ORDINAHCES~ THIS PERMIT <br /> <br />SETBACKS: l;:'f;,' 25 <br /> F/$'" 6 <br /> SP" <br /> <br />OOMAL~) E,, WOOI)I_:.=.Y¢ HARION COUNjI'Y gUll. DING OFFiCIAl. / BY ............................................................. <br /> <br />Fo~t ~ ~lc ts-5~ n~v, 4,~ OFFICE COPY <br /> <br /> <br />