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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 />i OWNER: , TAX LOTi : CATEGORY: <br /> .... · . I F.,.A. 1 rll..h, ,o i k.:..~ 1DJ,,,, ~ ,L A.-.. <br /> <br /> ~_2 ~ 3E, L,I,,, .VI. ,2 DR ..-- 7;~ ~ CONTRACT CITY; UGB: OCCUPANT LOAD; <br /> AU~SVitL ~.E IR 97;~25 " -' , <br /> <br /> ~t). T[A. A/]CESSORY ...... "'~" <br /> Ir'Hi)NFl',; VALUATION~ $TJ, 8~,,, ~ <br />.................... L.' : .L..' ..................... % ...................................................... <br /> <br />TYPE: ~UILDING PE~IT OR APPLICATION NO: <br /> <br />BU1LDIN¢ <br />F!,_AH REV'iEM <br />~)UILI)IN(; SI'Al'I; surd]He, <br /> <br />9~58026 <br /> <br />T'[i'FAL. ASSESSED FEES <br />PREVIOlJ9 REDEtPT,~ <br />'FHI,~} REfJEIF"T <br /> <br />BALANgE DUE <br /> <br />[~LiAN T t'FY A ~ [)Lfi,l T <br /> $25.95 <br /> <br />TOTAL 9G~ FT: ;'~[¢ L_s <br />~TOR]:E;~: RS'"~ <br />E%AN,, ACT 101,~; R R :[/~ <br />i~IgE;RGY PrYTi"l: SF:' <br /> <br />OFFICE COPY <br /> <br /> <br />