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MARION C¢ $ 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 8m Derforming work orl ~ property I own or o¢oupy. <br /> <br />The work wNI b~ performed by a registered builder, <br /> <br />294;~ I..A"FONF, E <br /> <br />TYPE: ~)~EL1_'fMG PERMIT OR APPLICATION <br />CONTRACTOR.~ IqO. <br /> <br />Sale~ ,, <br />F' { qE;; 2~ <br /> <br /> ITEH <br /> <br />DNEL. Lt:Ng PLAN <br /> <br />PAYEE;, John F R5 e_r, el- <br /> <br /> 9~54;~94 DP <br /> <br />A P, CH,~: TEC T/r';N 6 ,T, i'lEEl% NO,, <br /> <br />PI, IONE; <br /> <br />TOIAL AS,SESSE~ :'EES <br />PREVIOUS I~.ECEIPTS <br />THIB RECEII- 1 <br /> <br />QUANT iTY <br /> <br />AMOUNT <br /> $255. i6 <br /> $96.69 <br /> $24,. 89 <br /> $75,, 50 <br /> <br />$669.5 :~. <br /> $0.00 <br />$669.51 <br /> <br />~AL, ANCE DUE ~t;~,, 00 <br /> 56878 <br /> <br />hEC~:,[V~,D BY: F'H ................................................................TypEI.' IN CHr.-'CK :~: 8 <br /> <br /> THIS IS ~OT A PER~IT. THIS APPLICATISN HUST ~8 THROUCH A REVIEW PROCESS WHER~ THE <br /> <br />LL NECESSARY INFORHATION HAS BEEH PROVI~DE~. <br /> <br /> Z ~')~'~ :~ ~% (I~: BY .................. DATE ..... ¢' ................ <br /> <br />r. cIGHT. ,,IL FBA ,.,K,:~,, FI:;: <br />O'~AL ~ FT= :}.6~I ~ '*'"'=' <br />STOI:~. I [-'_'~:1 R,,, c..=' <br /> kR...,l, 4 <br />ENEI~(;Y PATH:: 1 St::'. ............ <br /> <br />FORM # MG 15-56 REV. ~ OF F ICE COPY <br /> <br /> <br />