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MARION COUNTY BUILDING INSPECTION SENATOR BLDG. NO. 225 .,~ ..... 220 HIGH STREET NE SALEM, OREGON 97301 PHONE: 588-5147 8:00 - 4:80 24 HOUR CODE-A-PHONE: 588-7904 t am performing work on a property [ own or occupy. I am a registered builder OR the authorized representative of a registered builder, The work will be performed by 8 registered builder. Other I have read and agree to the terms stated on the reverse side of this document. I SITUS ADDRE~'. i CONSTRUCTION TYPE'. OCCUPANCY: ; 127 CARMEL ;OR -- 4-0 i I MA~LING ADOR~SS; ' SUBOIV)S)ON: ! SITE NUHBER.- ?4-02555 PHONE: 808'-547-8615 ~ VALUATION: $3~ 000.00 ..................... ............ ........... ........... ................... ...... 5~.._L .... .................. ~_~' .... ~8~._~ ................ '~_NQ L.NO TYPE: BU[LDZHG CONTRACTOR, NO. ?8940 5~p~tg~ Awning. PNOME; ~-1711 ITEM BUILBING FEE PLAN REVIEW BUILglMG STATE SURCHARge PERHIT OR APPLICATION HOc 9856184 ARCHITECT/ENGINEER, NO. PHONE: QUANTITY AMOUNT $2S.03 TOTAL ASSESSED FEES $65.46 PREVIOUS RECEIPTS $0.00 ,THIS RECEIPT $65.46 BALANCE DUE $0.00 ~.A.y .E.~; ..Gag.i,{:ol. Awning 58&80 b~J~'lYbl~ 1~¥: PM ................................... TYPE: * THiS IS NOT A PERMIT. ~IS A~'ICATION' ~ GO T~GH A REVIEW PROCESS ~HERE THE FOLLO~ZNG HUST ~E COHPLETE~L? ~T IS:' ~E '~O~LZ~ OF THE APPL~CAHT TO ASSURE THAT LL NECESS~Y ANFORHATI,, HAS EH P~VI~. , ' SEPTIC. BY---% ..... "-DATE~ ......... STORIES. RS"~ ....... .... ~ ...................... PLAN. ACTION: CITY JURISBICTION: BY ........ QATE ........ ENERGY PATH: SP- REHARKS: CARPORT OFF]CE COPY