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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 />tamaregi~teredbuilderOR( )theeuthorizedrepre~entative <br />of a registered builder. <br />The work will be performed by a re~istered builder, <br />Other_ <br /> <br />CHURCHES. AND-. O:~HER.,~ EL I~, I~OUS.., <br /> <br /> ..... NAHHOND <br />PO BOX §18 <br />DETROIT, OR ?7342 STTE NUt. IBER: 94'~037:t8 <br />PHONE: VALUATION: $3~ 8e~. ~e <br /> <br /> L <br /> -No .o __ <br /> <br />TYPE= ~UIDING PERNIT OR APPLICATION HOc <br /> <br />CONTRACTOR, NO. 85338 <br />Donald B Day <br />4155 Lancaster Dr <br />Salea~ 97305-~000 <br />PHONE: 3?3-0648 <br /> <br /> ITEH <br />BUILDING FEE <br />PLAN REVIEW <br />BUILDING STATE SURCHARGE <br /> <br /> 98§83S~ <br />ARCHITECT/ENGINEER~ NO. <br /> <br />TYPE: IN <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THI~ RECEIPT <br /> <br />~ALANCE DUE <br /> <br />QUANTITY <br /> <br />PAYEE= Donald B Dey <br />RECEIVED BY: pm ................................ <br /> <br />AMOIJNT <br /> $38.50 <br /> $25.03 <br /> $1.93 <br /> <br /> $0.0B <br />$65.4& <br /> <br /> $0.08 <br /> <br />CHECK ~: ~ <br /> <br /> Tills IS F~]qr A PERI'lIT. THIS APPLICATTON HUST gO THROUGH A REVIEI~ PROCESs WHERE THE <br />FOLLSI~TNG HUST BE COHPLETED. ZT ZS THE RESPOHSZSTLZTY OF THE APPLTCANT TO ASSURE THAT <br /> <br />PLAN REVIEW: BY_ HEIGH. SETBACKS: FR 28 <br />ZONING: BY .-'-'---'-.',', , ' '---' -. TOT~.- SQ FT: 0 LS-5 <br />SEPTIC: BY- ..... ~-~--~ DATE- ~ .......... STORIES: <br />, _ .... __ _ RS-5 <br /> PLAN~ACTION: <br />CITY JURISDICTION: BY ........ DA:TI~_~_ ENERGY PATH: <br /> <br />REMARKS: REROOF - DETROIT CATHOLIC CNWRCN <br /> <br />OFFIC~ COPY <br /> <br /> <br />