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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 H~GH STREET NE <br /> SALEM, OREGON 9'7801 <br /> <br /> PHONE: 588-51,$7 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />of a registered builder, <br /> <br />Other <br /> <br />this document. <br /> <br />RESI;QENTIAL ~CCESSORY sJrRuEIURES .................... <br /> <br /> M-t,Lb.,CREEb-E~T~TES ................................ <br />, , 1.1~7~ MILL CREEK RD SE <br />' AUflSVILLE, OR ~7325 SITE NUMBER: 94-82627 <br />, PHONE= 7&9,-7744 VALUATION: $3~000.00 <br /> <br />TYPE: <br /> <br />CONTRACTOR, NO. <br /> Capitol AwnJ, ng <br />518 Valleywood Dr <br />Salem, 97~06 <br />PHONE: 363-1711 <br /> <br />PERHZT OR ~i:'?LICATION NO: <br />SE <br /> <br /> ITEH <br />~U[[.DING FEE <br />PLAN REVIEW <br />BUILDING STATE SURCHARGE <br /> <br />ARCHITECT/ENGINEER~ NO. <br /> <br />PHONE= <br /> <br />TOTAL ASSESSED FEES <br />PREVIOU~ RECEIPTS <br />TNI$ RECEIPT <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $~8.50 <br /> $25,,0~ <br /> <br />$0.00 <br /> <br />~ALAHCE DUE $0.00 <br /> <br /> PAYEE: Capitol Awning 58822 <br /> RECEIVED BY: PM ....... ............................... ' TYPE: IN CHECK ~: 0 <br /> <br />,I; TH'rS ZS NOT A PERNIT~ 'THIS APPLICATZOH HUST ~ THROUGH A REVIE~ PROCESS ~HERE THE <br />FOLLO~ZNG MUST BE COHPLETED. ' IT IS THE RESPONSIBtLITY OF THE APPLICAHT TO ASSURE THAT <br /> LL NECESSARY IHFORHATI~ HAS BEEN PROVT~ED. ' <br /> <br /> ZONZ~6, ~Y '~*~ ~TE . 7-- TOTAL 8~ FT~ ~ee I..~ <br /> CITY JURISDICTION: BY ........ DATE .......... ENERGY PATH: <br /> <br />OFJ=ICE COPY <br /> <br /> <br />