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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HtGH STREET NE <br /> SALEM: OREGON 97301 <br /> <br /> PHONE: 588-5147 8;00 - 4:30 <br /> 24HOURCODE-A-PHONE::588-7904occum, ~~,..~_ ~'~,'~.~ <br /> I am 8 re~lstered builder OR I I the authorized repfesontatNe SIGNATU~ OF ~PPLIC~ ~¢ ' <br /> pfa registered budder <br /> lbo work wd[ be performed by a registered buIIdor <br /> <br /> I h~e re~d and a~ree to the ferm8 stated off the reverse ~id~ Of DATE <br />OWNER TAX LOT CATEGORY <br /> <br /> ?'913 MILL CRr-EK ROAD <br />AUreCSV i LLE OR 97'3,26 <br /> <br /> RESI0&Nf iAL ACCE~RY srRUCTURES <br /> <br />740 BOONE R0 <br />SALEM OR 97308 <br />~(~g: 370-7556 <br /> <br /> 26 8S <br />,&REA 5. UN~TS AC <br /> <br />¢4ARI ON COUN l Y NO <br /> <br />STOf4g PiELO GLbN <br /> <br />Si1E <br /> VALUA r iON: <br /> <br /> 2W <br />~RREG LOT NO <br /> <br /> 11950 <br /> Sb, 376. <br /> <br /> AR C- <br /> <br />CORNE~o <br /> <br />51c- <br /> <br />fYPE*- BUILDING P~R]VflF OR APPLIC, AFiQN NO; <br /> <br />CON ~ RACIOR, NO+ <br />P~,l ERSON, ('i&RRE l <br />740 BOONE RD S <br />SALEM OR 9?306 <br />PHONE: 3'/0~7556 <br /> <br />~UiLDiNG FEE <br />PLAN REVIEW <br />BUIL~tNG SfAfb ~URCHAR~E <br />ZONING SU~gHARGE <br /> <br /> 902958? <br />ARCHifEC~/ENGiNEER, NO, <br /> <br />PHONE: <br /> <br />QUANIIIY <br /> <br />AM~XJNT <br /> <br /> $36,'¢3 <br /> $2.8~ <br /> $g,,83 <br /> <br /> PRB¥IOUs RECEIPTS $0.00 <br /> ~H~ RECEIPf' $98.89 <br /> <br /> BALANCE (,.~JE <br /> <br /> PA~Eb: PEfER~:~ON, DARREll /~ 312bO <br /> RECEIVED BY: ~ .~"'?,,~,~..,. FYPE: OK CHECK ~: <br /> <br />~ FHiS ~8 NOr A PEril. tHiS APPLICATION ~S'f' ~ THR~GH A REVIEW P~CE~ WHERE <br />POLL~[NG ~Sf B~ CO, PLEiaD. i] iS THE RES~SlBiL[fY O~ THE APPLiCANf '~0 A~R~ ~HAI <br />ALL NEC~ARY tNPO~f[~ H~ BE~ <br /> <br /> CIf'Y JURISDIC'1I~; BY DATE <br /> <br />¢ORU ~ M~ ~5-5e ~EV 4/90 OF FICE COPY <br /> <br /> <br />