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MARION (..;(.2UN ! Y b~UILL)INfJ IN~I~-L., I ION <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 /> 396 CLOVER 5[ <br />AtJ~VlL LE OR 9?325 <br /> <br /> ~INGLE FA~4iLY ~ELLiN~ <br /> <br /> BOX ],8533 <br />~ALE¢4 OR 9?309 <br /> <br />LOl BLOCK SECTION TOWNSHIP <br /> AREA UNITS <br /> <br />ALIF4~>V i LLE <br /> <br />SUBDIglSION <br /> <br /> VALUAI iON: $60,000,00 <br />SF NO NO <br /> <br />RESiDENIi$ <br /> <br />5 <br /> <br />TYPE: L~gLLiNG PERfvlIl OR APPLICATION NO: <br /> <br />CON IRA.CIOR, NO. 4~505 <br />RALPH ~JlfER <br />~ BOX ]2533 <br /> <br />PHONE.. 588~g373 <br /> <br />L)WELL1NG BUILDING <br />DWELLING <br />~NELL[NG MECHANICAL <br />DWELLING ELgCfRICAL <br />D~/ELLiNG SLATE <br />[..~LLING PLAN REVIEW <br /> <br /> 9D306~4 DP <br />ARCHitECT/ENGINEER, NO, <br /> <br />PHONE: <br /> <br />IOTAL ~E~ED FEES <br />PRE¥iOU~ RECeiPTS <br />THIS RECEIPT <br /> <br />$259_92 <br />$101,22 <br />~1b.8'7 <br />84,35 <br />$23.52 <br />$185_00 <br /> <br />$680.98 <br /> $0_00 <br />$68~,98 <br /> <br />BALANCE BUE $0,00 <br /> <br /> RECEIVED BY: P8 ~ lYRE: IN CHECK $: 0 <br />~ .................. ~:~=~=~==~=,;",,""::==~-:c:~;=~.~;~.:~. ................................... <br /> <br /> POLL~iNG ~Sf 8E C~PLE)~D. IT IS IHE R/S~518iLilY OF 1HE APPLiC~I ')O A~Rb ~HA) <br /> ALL NECESSARY iNFO~F'i~ H~ 8E~ P~VlDEO. <br /> <br />~EPIiC" BY DAlE ............. <br />~EU~,[NG: ~Y 0A)~ S~IBACK~: <br />~ARKS: NE~ RES <br />HblC'Chtf:: 1~ fO)AL 5Q PT: 168'f <br /> <br />CL/Y JURI~DiCIi(JN: 8Y ()ALE <br /> <br />SIORiES: 1 PL.AN,ACIiON: <br /> <br />ro.~ ~ uc ls-5~ ~v 4~ OFF ICE COPY <br /> <br /> <br />