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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: 588-0147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am performing work on a property I own or occupy. <br />~amaregisteredbullderOl~( ) the authorized representative <br />of a registered builder, <br />The work will be perlormed by 8 registered builder. <br />Other <br />I hsve re~d 8nd agree to the terms stated on the reverse side of <br />this document, <br /> <br /> :~2:L ASPEN DR <br />AUHSV:r Ltl,-: OR <br /> <br />B_~.~ _1).~ BT_!_A_k.. ~ E _c.~__s_s_9_R. '(._~_! B_U.~J_' ~F_~ <br /> <br /> SU BD~VISION; <br /> <br /> :1,137~ HI'LL CR~_FK RD <br /> AUHSVILLE.OR 97325 SiTE NUMBER: <br /> PHONE= 76~--7744 VALUATION." <br /> <br />LOT: I BLOCK I BECT ON ; TOWN~HIP: I RANGE: ; ZONe: ~ MA~: <br /> <br />TYPE: BUILDING PERMIT OR APPLICATIOH NO: <br /> <br />CONIRAC'rOR~ NO. 98940 <br /> Capitol Atoning / ,Santiam No <br />518 Valle%~ood D'¢' SE <br />SaleM~ <br />PHONE: 36J-171J. <br /> <br /> ITEM <br />BUILDING FEE <br />Pt. AN REVIEW <br />BUILDING STATE SORCI-IAI~GE <br /> <br /> 9859818 <br />ARCNI'FECT/ENGTNEER, NO. <br /> <br />PHOI,!E: <br /> <br />QUANTITY <br /> <br />BALANCE OU~ <br /> <br /> AMOONT <br /> $44,50 <br /> $28.93 <br /> $2.23 <br /> <br /> $75.66 <br /> $7~.66 <br /> $0.00 <br /> <br /> 62445 <br />CHECK ~: 0 <br /> <br /> RECEIVE~ BY: pm ........... ~ ........ .~_~ <br /> <br />~ THIS IS HOT A PERMIT. THIS APPLICATION ~UST .~O..THROUCH A REVIEW PROCESS WHERE THE <br />FOLLO~H~ HUST BE COHPLETEg. IT,S THE RESPOHS~IL~TY OF THE APPLICANT TO ASSURE THaT <br /> LL NECESSARY [NFORMAT~.I~H HAS BEEN PROV[~E~. <br /> <br /> ?NINE. ~Y_ :5~2~;SY/ ...... DAT~" -]]. ~- TOTAL gQ FTi 200 <br /> <br />Sl-_-TBACKS." FR 1.8 <br /> LS--/ <br /> RS ""6 <br /> RR'-10 <br /> <br /> :.PLAN. ACTION: <br />C]:TY JURISDICTION: BY DATE .................... ENERGY PATH: <br /> <br />REHARKS: CARF'ORT <br /> <br />OFFICE COPY <br /> <br /> <br />