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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 have read and agree to the terms stated on the reverse side of <br /> <br />r <br />~ s~us ~UO~ESs ...................................... ' ~4T] ~L <br /> <br /> SITE NUMBER: 94-81576 <br /> <br />LO~: ¢ BLOCK'. ~ SECTION: i TOWNONIP: ~ RANG~: f ZONE'. ' M~'. <br />, ~ ~ I I <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION <br /> <br />BUILI)IN6 FEI{ <br />PLAN REVIEiW <br />I)UII,.]Xf, N(; SrATE SUFtCJ,,h~i:~ ;E <br /> <br /> 9¢54422 <br /> <br />ARCH t TECT/ENC~ II,IEF'R ~ NO. <br /> <br />PHONE: <br /> <br /> QUANTITY A~OUNT <br /> <br />TOTAl. ASSES,SEI) FEES $65.46 <br />PREVIOUS RECEIPTS ~[;B,. 8B <br />THIS:RECEIPT $65.46 <br /> <br /> ............................ = Z~:~ z(~:_ =:: = =,:::,:: ::::; ====::::: ....................... :,.,.,: ......... : ........... L ............... <br />~ THIS IS NOT A PERMIT_, IHiS'::~PPEIC~TION HusT:~o THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWIN~ MUST BE COMPLETED.,' I:T IS :~E :,RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />LL NECESSARY INFORMATION HA~ BEEN PROVIDED; <br /> <br />ZI]N ]:N[;,,~ ])Y <br />!:I:!:r"T':rCr, ~¥]:]E:'J'J:::E;,]::i',':-'-T-:EEE ~ATF. ...... ......... <br /> l) n-r E.',::7;-"-Z "T_'ZE'.':ZZ-_ <br /> <br />R,,H~,*xo CARPORt' <br /> <br /> HEIGHT: :18 <br /> TOTAL SQ :'T: 508 ...... ~ / <br />STORIES: 1 RS 6 <br />PLA~. ACT]:ON: <br />ENEkCY PATF[: <'~ .... <br /> <br />FORM # MC 1 ~-~6 REV, 4/DO OFFICE COPY <br /> <br /> <br />