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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
<br />CODE-A-PHONE 4:30 PM. - 8:00 A,M.
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<br />TAX LOT:
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<br />CONSTRUCYfON TYPE:
<br />
<br />CATEGOHY.
<br />
<br />OCCUPANCY:
<br />
<br /> CONTRACT CITY:
<br />'14397 KE!!L RD NE
<br />A,LIRORA OFf 97002
<br />LISE OF 81.11L01NG: ~IAR i ON COUNTY NO
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<br />SUBDIVISION:
<br />
<br />26_ OO00 , ¢..
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<br />SITE NUfV18 ER:
<br />
<br />NO Nt
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<br />TYPE,, ~LiIt,,iS~NG P]-~:~,MI]' OR APPLICATION
<br />
<br />CON T RAC'TOR, NO.
<br />SEARS, A ']
<br />
<br />"YiGA!-<0, OR 9?224
<br />?~ufC/k E: 639.. 7934
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<br />Ft. EET ,SU RCH ~,F~GE
<br />13{..I [LO!NG ST/~T~ SLI~{r..?H.~SiRGE
<br />ZONING
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<br /> 901~-o 8
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<br />ARCH Il'EOT/ENGiNEER.
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<br />TOTAL' ;,{SSEssED ·FEES
<br />P~v'i OUS RECEIPTS
<br />TH TS RECEIPT
<br />
<br />BALANCe. DUE
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<br />Q{ ANT [ ?Y
<br />
<br />5...3.
<br />$7.
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<br />$463 5'7
<br />$ ,:t (} 3. :5 '?
<br />
<br />$ 0 0 '0
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<br /> ........... F A ,..ERP'IT. ,HI,~ APPL'rCATTON ~Uc.,, 60 ROUGH A REV]EH ~ hOC,..,.:, ~. ,~,,,._ :
<br />"::', L,'],,ilhiG 'v!UST BE RESPONS;8~L~TY OF THE ,a, PPL_IC,ANT 'FO ASSLJRE T'}.~AT
<br />,/.,LL r'.;:Z:;CESS/.,RY ]NFO[~A]'iON HAS:86~ PROVIDED.
<br />
<br /> ,../ .... ~,,.¢., ~: 8v ATE
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<br /> C~TY JuR.[oD C,~h, SY ..............................
<br />'." ?',' ]' ,-'. 8Y .................... DAT:E
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<br />";.x v',., ,~ S'::'(~,:,~tE. E LDC'}~ FuRm FARM' EQU.' P~EN.,~ T PE~ONA_~ ~Uo~ N~,,~ ~87
<br /> ....... ~ ,¢ F. ~ F$~:
<br /> . ~._ . ~t4.
<br /> ,.,.:.¢¢':, a.L (~Q ::~- EO00 '~'¢~ "~ PLAN *"~"-~ '
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<br />rO~M. ~c ~.s6 n~v ~u88 OFFICE COPY
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