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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. ~-25 <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 />~ am a registered builder OR ( the authorized representative <br />of a registered builder. <br />The work will be performed by a registered builder, <br /> <br />MATHEW FLETCHER/THERESA POTTER /- <br /> <br /> 2855 S. PACIFIC HWY <br /> WOO~BURN OR 97~7~ SITE <br /> PHONE: 749-3~4[ VALUATION~ <br /> <br /> ~ <br /> <br />CON'rRACTOR~NO. 98940 <br /> Capitol Awning./ Santiam Ilo <br />518 Valleywooo ~1' SE <br />8ale~ 97386 <br />PHONE: 343-1711 <br /> <br /> ITEM ,i~ <br />BUILDING FEE ~! <br />RLAN REVIEW :i~i <br />BU~LBING STATE SURCHARGE <br /> <br /> PAYEE: Caoitol Awning <br /> RECEIVED BY: df <br /> ~ THIS IS ROT A PERHIT~'~ <br />FOLLO~IHG HUST :BE <br /> LL <br /> <br />PLAH REVIEW: BY <br />ZONING: BY <br />SEPTIC: BY ...... <br /> <br />CITY JURISBICTION: <br />REMARKS= CARPORT <br /> <br />PERHIT OR APPLICATION NO~ <br /> <br /> ~58884 <br />ARCH~TECT/ENGINEER~ NO. <br /> <br />BY ' DATE ENERGY PATH: <br /> <br />:::: QUANTITY <br /> <br />AMOUNT <br /> <br /> $28.93 <br /> $2.2~ <br /> <br />$75.64 <br /> $0.00 <br />$75~46 <br /> <br />,TYPE. IN CHECK <br /> <br />$0.00 <br /> <br /> RE¥IE8 PROCESSWHERE THE <br />THE APPLICANT TO ASSURE THAT <br /> <br />300 <br /> <br />SETBACKS: FR 10 <br /> <br /> RS-4 <br /> RR-10 <br /> sP"Z ...... <br /> <br /> OFFICE COPY <br />FORM # MC 15-56 RE'V, ~/~ <br /> <br /> <br />