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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, QREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />t am performing work on a property I own or occupy, <br />I am a registered builder OR ( ) the autl~orized representative <br />of a registered builder, <br />The work wiII be performed by a registered builder. <br />Other__ <br /> <br />F'AOI. GARC]',A ~ RESIDENTIAL <br /> <br /> LOAD: <br /> ~ ~SPEN DR <br /> ~UM~V[LLE OR 97~2~ ~A¢flgVILLE ~ N8 <br /> <br /> AOMSVILLE. OR 97~25 ~ SITE HUHBER~ 94-~4451 <br /> PHONE: 39~-8147 <br /> ~ VALUATION: <br /> <br /> ~8~4~ ARCHITECT/ENGINEE~ NO, <br /> SantimM Ho <br /> <br />¢ONTRACTOR~ NO, <br /> Capitol Awning / <br />518 Valleywood Or <br />SaleM~ ~7306 <br />PHONE: 363-1711 <br /> <br /> ITEN <br />BUILDING FEE <br />PLAN f~EVIEW <br />BUILQING BTA'FE SURCHARGE <br /> <br />PHONE: <br /> <br />EHERG¥ PATH: <br /> <br />RENARI(S: CARPORT <br /> <br />QUANTITY AHOUNT <br /> $38.50 <br /> $25.03 <br /> $1.9~ <br /> <br /> TOTALASSESSED FEES $65.4b <br /> PRE¥IOU~':R£CEIPTS $0.00 <br /> TH~S,,RECEIPT $65.46 <br /> <br /> BALANCE.DOE $0,,00 <br /> <br /> R~CEIYED BY: pr ...................... ~ ............. TYPE: IN CHECK ~: 0 <br /> · THIS IS A VALID PERHIT. THI~ PERNIT EXPIRE~:188 BAYS FROH <br />CONStRUCT[OH CF-~SES FOR A BER~OP,OF,,[Sa ,g&Y~.GR, [F.CBHSTRUCT[ON FA~LS TU HEET ALL <br /> EDUIREHEHTS OF STATE LA~S AND, F~RiON CSUNTY BUiL~IN~ AN~ ZDNZN~ ~DINANCE8~ THIS PER~IT <br /> ALL ~EC~E HULL AND <br /> <br /> HEiGHt: 11 BETBACKB: FR <br /> TOTAL SQ FT~ ~8 LS-/ <br /> STO~IES:' 1 RS-'b <br /> PLAN.~OTION~ <br /> ENERGY PATH: SP'~'~ <br /> <br />DONALD E. WOODL. EY,~ MARION COUNTY BUILDYN6 OFFICIAl. / BY .............................................. <br /> <br /> OFFICE COPY <br />FORM # MC 15-56 REV. 4/9o <br /> <br /> <br />