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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: 888-7904 <br /> <br />t am a registered builder OR ( ) the authorized representative <br />of e, registered builder. <br />The work will be performed by a registered builder, <br /> <br /> ~tJMSVi, l..L.:: OR 97325 ~UNSVZI_L_E ~NO <br />,'O~E' ~F '~0J[~[N~ N0. 0F 8EOROOMS: <br /> RESIDENTIhI.., ~C[:ESSORY STRtJC'FURE$ <br /> MAILING ADDR~8; ~ ~UBDIVI~ION; <br /> <br /> MILL CREEK ESTATES <br /> 158 S 7TH <br /> AUI4,W.[_,..E,, 0R ~7,~.5 SITE NUMBE~= <br /> PHONE~ 747-1266 VALUATION: <br /> <br /> ~[~ 84 ~ 4~2~. [ i NO ~ NO <br /> <br />ARCHITECT/EN6INEERo Fl[),, <br />PHONE: <br /> <br /> I TEH <br />BU ZLi):I:NC, FEE <br />PLAN REVIEW <br />BUILDING STATE SURCHARGE <br /> <br />TOTAL ASSESSED FEE,~ <br />PREVIOU~ F:ECETPTS <br />THiS RECEIPT <br /> <br />LIUANTITY AMOUNT <br /> $38.5~ <br /> S25.0;~ <br /> $1.93 <br /> <br />$65,46 <br /> <br />BALANCE DUE $0, ~)0 <br /> <br /> ~SXEI¢;,~ Capitol Auning 59693 <br /> REL,EIVED BY: PM ............................................. ; ............... TYPE: IN CHECK ,~: 0 <br /> <br />* THIS IS NOT A PERHZT. THIS ~PPLICATiON NUST r~ THROUCH A REVIE~ PROCES~ ~HERE THE <br />FOLLO~N6 HUST ~E COHPLE~E~, IT: ~S THE ~ESPONS[~ZL[TY OF THE ~PPL~CRHT TO ~SS~E TN~T <br /> LL HECESSREY INFGEH~TION ~S ~EEN PEOV[~E~. <br /> <br /> T~ HEIGHT: <br />ZOhIIN6~ I:{Y .......... ' ......... iOTAL SO <br />· ~[-I F..(,,~ BY ..................................... DATE STORIES: <br /> ................ Pi Ah,ACTION; <br />CItY JUL[,.~DLCI..ON. BY .................... DATE_ ........ ENERGY F'ATH.- <br /> <br />REMARKS; CARP01'~T <br /> <br />SETBACKS: F:'R 29 <br /> L,S <br /> RS'-i~ ....... <br /> R I:~' "' 1 '5 <br /> SP <br /> <br />OiH FtCE COPY <br /> <br /> <br />