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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 />Other <br /> <br />this ¢ocument. <br /> <br />DAT ;.' 0]./i 1~/9,,¢ r ].HE,, 9:54::01 <br /> <br />F,(, hi; ,.~ ~ RESiDENTIaL <br />C,~MI:'BEI..L ~ ' '~ <br /> <br /> AUMSVILLE OR 97;25 ~UMSVILLE <br /> BUILO~:- - - ~ NO 0¢ BEDROOMS <br /> RESIDENI'IAL A(:¢:ESSORY STRU6TURE~ <br /> <br /> ~ MILl. CREEl( ESTATES <br /> pO BOX 278 <br /> .... ~ SITE NUNBER: <br /> HUBBARD~ OR <br /> PHONE: ~8;l, -'-4 ',[ 25 ~ VALUATIONs <br /> ~ [ b ......................... ~ I <br /> <br />TYPE: BUILDING <br /> <br />CONTRACTOR, IqO. <br /> Capitol Awni)')g / Sand':Ram Ho <br />518 V~l~e~oo~ Dr SE <br /> <br />BLIIt..DZN6 FEE <br />PLAN REVIEW4 <br />ZONIN6 sURCHARGE , <br /> <br />PERNIT OR ~PPLI[;ATII]N NO: 9'86~761 <br />98940 ARCHI TECT/ENI';. I HERR, NO. <br /> <br /> F'A~EE~: C. api(ol Awning <br /> RECE;IVED BY: PM <br /> <br /> ~ THIS iS NOT A PERMIT., <br />FOLLOWING MUST BE <br /> LL RECE$SARY INFDRMATiOI~ <br /> <br /> lit,iAI,Il' ~ 'f'Y AHOUNT <br /> ~ 28,,9'3 <br /> $2!. 2~ <br /> <br /> $75. <br /> $0.. <br /> $75.66 <br /> <br /> :TYPE: IN CHECK ~: <br /> <br />~{T~E APPLICANT TO ASSURE THAT <br /> <br />PLAN REVIEW: BY ~ <br />..... " FT. 300 <br />ZON IN[;,, BY <br />,,~.J T,~I,,,. BY' <br /> ,,, PL.AI~,, ACTION <br /> ,Z rY ,JUR.[,:,D,[CTZON: BY ............... ENERGY P~TND <br /> <br />SETBACI(~: <br /> LS <br /> RS--; ...... <br /> RR'.] 1C~ <br /> <br /> OFFICF COPY <br />FORM#MC <br /> <br /> <br />