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MARION COUNTY BUILDING INSPECTION <br />SENATOR ~,LDG, 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 bukder. <br />The work will be performed bY a reglste~ed builder. <br />Other, <br /> <br />this documenL <br />DATE.. ~?~28~ TIME ..... 8 ,..~_~ ~.3.~. .. <br /> <br /> 12g DETROIT AVE S- 'd~hY~Xfi~'~i~*:~ "~0~ 66~bPi~r~o~D; <br /> DETROIT OR 97~42 ~ETROIT NO <br /> <br /> CHURCHES AND OTHER RELIGIOUS BOIl. DINGS <br /> <br /> PO gOX 518 , <br /> ~ETRO~T~ OR 97342 ~ SITE HUH~ER: <br /> PHONE: r VALUATION: <br /> <br /> NO ~ NO <br /> <br />TYPE: BUILDING PERflIT OR APPLICATION NO: <br /> <br />COHTRACTOR, NO. 85338 <br /> <br />Salem, 97305-0000 <br />PHONE: ~93-~648 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />BUILDING STATE SURCHARGE <br /> <br /> 58~58 <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br />QUANTITY <br /> <br />'fOTALASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />AMOUNT <br /> $~8.$0 <br /> <br /> $1.93 <br /> <br />$65.46 <br />$65~46 <br /> $0,00 <br /> <br /> PAYEE: <br /> RECEIVED DY: DM .................................. TYPE: CHECK ~: 0 <br /> A THIS IS A VALID PERNIT. THIS PERHIT EXP] ITS ISSUE 9ATE. IF <br />CONSTRUCTTOH CEASES FOR A PERZO~ ~F 188 ~AY~, ... FAILS TO flEET ALL <br /> EGUiR~EHTS OF STATE LAMS ~D HARION ~TY ~ILDI~ ~D ZONING ORDIHAHCES,. THIS PERflIT <br /> ALL 8EC~E NULL AND VSID. : <br /> <br /> , HEIGHT: SETBACKS: FR 20 <br /> · TOTAL.:SQ FT: <br /> ENERGY PhTH: STORIES: RS-5 <br /> . . . PLAN. A~TiON: RE-15 <br /> ENERGY PATN: SP~___ <br /> REMARKS= EEROOF - ~ETROiT <br /> <br /> DON:LQ E. WOQQLEY, MARION CouNTY:'BUILB~NG OFFICIAL <br /> <br />~. 'FICE COPY <br /> <br /> <br />