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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 />~ ~ TUS ADDRESS: ~ CQN$TRUCTION TYPE: i QCGUPA~CY; <br /> <br /> ' <br /> ~-W ............... <br /> :~2~ ~S~:'EI'I ~ __ ~ ~ CONTRACT CITY: ~ UGh: ~'OOCUPANT LOAD: <br /> AUHSV~I...LE OR ~2~ ~U~tSVILLE <br /> <br />7218 SCHOLLS F-EI:~RY RD ~2 <br />BEAVERTON, OR 97085 i SITE NUMBER: <br />F'HO HI~: '.' 828-4e86 VALUATION: <br /> <br />TYPE= BUILDING <br /> <br />PERMIT 0R APPLICATION <br />~8~48 <br />Sa~t~.m~ Ho <br /> <br /> ITEH <br />BIIIL, DING FEE <br />F'LAN REVIEW <br />BOIL~IN6 STATE SURCHARGE <br /> <br /> ~J~57294 <br />ARCHITECT/ENGINEER~ NS. <br /> <br />'PHONE: <br /> <br />QUANT ITY <br /> <br />ANOUNT <br /> <br /> $25.0~ <br /> <br />$65.46 <br /> <br />$65.,46 <br /> <br /> PREVIOUS' REC.F. IPTS <br /> TH!S .REOEIPT. <br /> <br /> F'A~EE:I C¢~pJ, tol Awrd, ng? <br /> RE'CE,I:VE~ BY: PM ' <br /> .................... ...;;,:~_:~gg:g.;~..~ ......... 222%%2 TYF'E: ZN CHECK $: <br /> <br />IFOI.LO~IHS MUST BE LITY O[ THE APPLICANT TO ASSURE THAT <br />LL NECESSARY INFORMATION HAS ~EEN PEOV~E~. <br /> <br />SETBACK,r:;: FR 27 <br /> L.9 .... <br /> RS-"S <br /> RR "].0 <br /> <br />ZOHING: BY ............. :-"" :DATE'~'-,;'' -: ...... : TOTAL SO PT: <br /> ~--:: .............. ~ ....... PL. gN. ACT Iohh <br /> JURISDICTION:; BY................... DATE................ ENERGY PATH: <br /> <br /> (S: :ARF'ORT <br /> <br />OFFICE COPY <br /> <br /> <br />