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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: 588o5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588~7904 <br /> <br /> of a registered builder, <br /> The work w}ll be pedormed by 8 registered <br /> <br />........................... ~X 'C6~: <br /> <br /> AUHSVILLE22~ BELLEVUE OR ~7325 <br /> <br /> MILL CREEK ESTATE~ <br /> 17277 S PERNWOOP R~ ~ SITE NUH~ER: 94-84625 <br /> MDLAL, LA.. OR <br /> PHDI4E~ 829-.266B <br /> ""~k~'~ i'B~N: ~ TOWNSHIP: RANGE: ZONE'. MAP: <br /> <br />TYPE: BUIL~IHG PER~IT OR APPL[CATIOH <br /> A~CH[TECT/gNG~NEEE~ N~. <br /> <br />QUANTITY AMOUNT <br /> <br />$44,, 50 <br /> <br /> $ ....... ,'3, <br /> <br />BUIL~INfJ FEE <br />PLAH I~EVIEW <br />BUI[..I)III[~ STATE BURf,'HAR~;E <br /> <br />~s75,. 66 <br /> <br />$75.66 <br /> <br /> TOTAE ASSESSED FEES <br />'PREVIOUS RECEIPTS <br /> THIS RECEIPT <br /> <br />'"A~(~:E: J3~N ROEH~ CONS'I'RUCTIO~ : 6277~-1 <br />RECFIVEI) BY: PM : ,TYPE~ IN CHECK ~ <br /> <br />ZONING: BY .......... ""-~ATE ..... 7 ....... TOTAL 3~e L,S- <br /> <br /> [TY .JURI,~OICT.{ON. BY ~ATEL_...:.~_&_~, ENERGY:PATH: c,-j~ ....... <br />kLHARK,:, CARF'ORT : <br /> <br />OFFICE COPY <br /> <br /> <br />