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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: 588-7904 <br /> <br /> of a registered builder. <br /> The work will be performed by a registered builder. <br /> <br /> ))A~E: 10/Zl/~4 TIH~;,: 17.-02.-21 <br /> <br /> KEi[ZER BUILDING & DESIGN <br /> <br /> ~LI~,~V ~ L.L.E: O~ ~7~25 ~E ' j'~" <br />~ '6~- ~gS~ ...................................... <br /> S[N[~LE F~HZLY DWELLiNgS <br /> <br /> AUNSVILLE MEADOWS <br /> <br /> PHONE= VALUATION: <br /> <br />TYPE~ BUIL~ING PER~IT OR APPLICATION NO: 5934B <br /> <br />CONTRACTOR, NO,, 6,1578 ARCHITECT/ENGINEER, NO,, <br />Mike Kubishta Hike Kubishta <br />418 Appl~blossoPt Ave N 41~ Appleblo~mo~ Ave N <br />PHOHE~ 3~e-671& <br /> <br />FOOTING/FOUM~ATION OMI}Y <br />BUILDING STATE SURCNAEGE ::. <br />A))DITIOHAL ~URCHARGES [~ .:' :r <br /> <br />PAYEE: Hike Kub <br />RECEIVE~) BY: mb <br /> <br />* THIS IS A V~LID <br />CONSTRUCTION CEASES FOR <br /> EQUZREflEHTS OF STATE <br /> ALL ~ECOHE NULL AN~ <br /> <br />EHER~,Y PAI'N: <br /> <br />QUAMTITY AHOUNT <br /> $25.00 <br /> $0.50 <br /> $0.75 <br /> <br />$~6.25 <br /> $0.00 <br />$25. <br /> <br />$0.00 <br /> <br />' TYPE: CK CHECK ,~: <br /> ITS ISSUE DATE. IF <br /> FATLS TO HEEl- ALL <br /> ~ING ORI)INANCES, THIS PERMIT <br /> <br /> SETBACKS: FR <br /> 0 LS"-~'~ <br />:;: RS-" ~'-r <br /> [ sP:Z .... <br /> <br />FOOTING iI,ISPES~ ~ G~.~PERi~I't~ <br /> <br /> WOODL. EY, , . BY":: .......................... ~..5. ............................ <br /> <br />FORM # MC 15-58 REV. 4/1~0 OFFICE COPY <br /> <br /> <br />