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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br />Other <br /> <br />08/09/9! f .~M~; 14.00:05 <br /> <br />ALBEE, JEFF & R(JXAN~ <br /> <br /> PHONE: $88-5147 8::00 - 4;30 <br />24 HOUR CODE-A-PRONE, 588-7904 <br /> <br />U~5 OF BUILDING <br /> <br />MAll lNG A0b)rlESS Of HER NON-RES]OENf IAL b~L II [tNGo <br /> <br />I OT <br /> <br />WJDTII <br /> <br />SECTION TOWNSHIP <br />AREA UNITS <br /> <br /> RE51 DEN ~ <br /> <br />~AR~ON COUNTY NO <br /> <br />THE RANCH <br /> <br />8S IN ~R <br /> BiO NO <br /> <br />TYPE: L%JJL(JlN(,] PERNII! OR APPLICATION NO: <br />q N]RACION. NO. <br />9064 5HAW SQUAR~ <br />c>HONE: <br /> <br /> 90343~9 <br />ARCHITECI/gNGINEER, BI(). <br /> <br />PHONE: <br /> <br />klANT[IY <br /> <br />PAYLE: ,JhPF Al_BEE <br />~4bI,:LEVED ~Y: Iv~ <br /> <br />TO]AL ASSE~EO FEES <br />PREVIOUS RECEiPFS <br />]HI5 RECEIPT <br /> <br />MALANCE DUE <br /> <br /> TYP&; CK CHECK ~: <br /> <br />~ ~HIS I5 NOT A PERr4iI, [Hi~ APPLICATION Muir G%T THROUGH A R[sViE~ PROCESS WH~RE, <br />)l LO~ING Nt,Jbi ~E COMPLETED. 11 15 THE RESPONSIBiLiTY OF THE ¢I'~PLICANT lO ~USLJRE <br /> ~NPORMAf iON HAS 8~EN PROVIDED. <br /> <br />CiTY JURISDICTION' t~Y <br /> <br />~OUN/ <br /> <br /> $1~3.~:,:~;: <br /> <br />$3,, <br /> <br />$0 0(, <br /> <br />THE <br /> ~H~I <br /> <br />~ORM # MC 15 56 REV 4/90 OFFICE COPY <br /> <br /> <br />