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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: S88-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am performiA0 work on a property I own or occupy. <br />I am a rogistered builder OR the authorized ep e~en ave <br /> of a regis ered bu der, <br />The work will be perforf~ted by a registered builder, <br />Other <br /> <br />I have read and agree to the terms Stated on the reverse side of <br />this document· <br /> <br />OwNER:~ATE." 06/16/94 TIME: ].7~ 04:19 TAX ~OT; ) CATEGORY; <br />~~'~s~*~'' sEA~ <br /> <br /> 48~ DURDtN DR ~ ~- <br /> <br /> 2039 ,K..EHNEDY CTR NE <br /> KEIZER, OR 97~02 SITE NUH~ER~ 74-82~95 <br />i PHONE: ~-858~ VALUATION: $~Oe. B8 <br />:LOT: ; BgOOK: ~ SECTION; : TOWNSHIP: RANGE: ~ ZONE; ~ MAP; <br /> <br /> 5~': 5~%'9':" ',,:',,:'' ::::NC N0 <br /> <br />TYPE: BUILDING <br /> <br />C~I'ITRACTOR, NO. <br /> Lapitoi Awnin9 <br />818, Vallexwood"Dr <br />Salem~ 97MOd <br />PHONE: ~dM-1711 <br /> <br /> PERMIT §RAPPLICATIOH <br /> <br />989,40 <br /> <br />SE <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />BUILDING STATE SURCHARGE <br /> <br /> ~;~55902 <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPT9 <br />THIS RECEIPT <br /> <br />BALANCE- DUE <br /> <br />QUANTITY <br /> <br />AMOIJNT <br /> <br /> $25.,0~ <br /> $1.9~ <br /> <br />$65.46 <br /> $0.00 <br />$65.46 <br /> <br /> $0.00 <br /> <br /> · . . PLAN. ACTION: <br />CI'FY JURZSDILTION. BY ........... DATE, ........ ENERGY PATH: <br />REMARKS: CARPORT <br /> <br />LS' <br />RR-10 <br /> <br />OFFICE COPY <br /> <br /> <br />