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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: 588-514,7 8:00 ~ 4:80 <br /> <br /> am e ormn work Dna rD err o <br /> <br />The work will be performed by a registered bulkier, <br /> <br />, DATE: 1,1/14194 T/ME: 13:06:44 ................................................ i .... <br /> AL, L,EI,I,¢ EL-WIN , <br /> <br />us~ o~ ~U~LD~JMSV]]..I_E OR 97~25 MARION COUNTY NO <br /> <br /> ~I'PSL. E FAMILY DW,::LLINC~ <br /> <br />~ ,5281 HOW~LJ,., CRA~RI~ RD NE 77S81 ~. SI~E NUMBER: ~4-82173 <br /> <br /> 1.5 AC NO NO <br /> <br />PHONE: 873-1144 <br /> <br />DWEt.I...IN6 BUZLDIN6 F'EE!;r <br />DWEI.,L ]:l~lG PL. UMBJ[NG <br />DHEL_L~NG MECHANICAL <br />DWELLING ELECTRICAL <br />DWELJ..IN6 STATE SURCH¢ <br />DWELL, ING PLAN REVIEW <br />TURI'iPIKE I)/W - BLQ6 <br />TURNPIKE D/W - PUBL~ <br />DWEI,.I,,IN6 ZONINI; SURCi <br /> <br />T'YP~,~ BtC~LL~HI~ ~,~ OR APPLICATION <br />CON'IRACI'OR,, NQ,, ~ ~0- ~1 I , ARCHI'I'ECT/ENGINEE~ NO,, <br />~L, LEN. KEVIN <br />kJZM A[.LEN <br />52~1 H W~ .... PRAIRIE RD NE <br />PHONE: <br /> <br />PAYEE: YOUH6. JEANE'F-FE <br />F:ECE[VED BY: DF .................. :,.,..,, <br /> <br />* THIS IS NOT A <br /> <br />QUANTITY <br /> <br /> FEES <br />P, TS <br /> :i <br /> <br /> ~ TYPE: CE <br /> <br /> AMOUNT <br /> $349.47 <br /> $127.43 <br /> $~i. 75 <br /> <br /> $38 ,, 41 <br /> $:1.85., 0r4 <br /> $2,, 0r2 <br /> <br /> $88~t,, 57 <br /> ~88E~. '57 <br /> <br /> ~2:t.~ <br />CHECK ~: 3439 <br /> <br />OFFICE COPY <br /> <br /> A REV'fEW PROCESS WHERE THE <br />FOLLOWTN[: MUST BE THE APPLICANT TO ASSURE THAT <br />LL .ECESSARY INFO.HATION HAS ~EE" P.OVI~ED. <br /> <br /> :;EF'Ti[;: BY"'~¢'7~"'":F"'::: DA'[E?r'~,~%/'-:~';: :STORIES~ <br /> F:U~',t..IC WORK..,.; ~AI'E:[2_::;._ZZZ.]Z~::':j ] I: LAN;, <br /> <br /> [: :~ '1 Y J[~ R ] S D :[' F: l :[ ON: B Y : D'~T:E': ::: <br /> <br /> <br />