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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE:: 588-514'7 8:00 - 4::30 <br />24 HOUR CODE-A-PHONE: 588,-7904 <br /> <br />COX, DAFWiN <br /> <br />OCCUPANT <br /> <br />MAILING ADOR~$S 5/NGLE F'AD~LY [XNELLiN(~ <br /> <br />SUgDiVfSION <br /> <br />I::"HON ~: / 49 -223/ <br /> <br />~iIE NU~R: 13815 <br /> 02," <br /> <br />IRREG LOT CORNER <br /> <br />NO NO <br /> <br />IYPE: BUiLDiNG <br /> <br />CONIRACIOR, NO. <br />COX, DARVtN <br /> <br />PERM[f OR APPL/CAfJON NO: <br /> <br /> 9036382 <br />ARCHLTECf/ENGINEER, NO. <br /> <br />PHONE: 749~223Y PHONE: <br /> <br />MUi LL)ING FEE <br />PLAN <br />~LJ i LO l N(~ ;~ l A l E SURCHARGE <br /> <br />~OYAL A~S~EO F'EE5 <br />PREVIOUS RECEiPI~ <br />THJ~ REC61PF <br /> <br />BALANCE DUE <br /> <br />~UANTI'TY <br /> <br /> AMOUNI <br /> ~20_50 <br /> 13_33 <br /> $1.9~ <br /> <br /> $34,86 <br /> $34_85 <br /> <br />38312 <br /> <br /> REO~IVtL) ~¥: CL ................................................................. IYPE: IN CHECK ~: 0 <br /> <br />~ THiS i5 NOT A PERMiI. IHI~ APPLiCAT'ION D1USI' GO IHROUGH A REVIEW PROCESS WHERE INk <br />F;¢)LLOWING MUSf BE COP4PLEfED. iT iS fNE RESPONSIBILitY OP THE APPLiCANF fO ASSURE fHAr <br />,ALL.. NECESSARY iNPORNAIiON HAS BEEN PROVIDED. <br /> <br />5EPflC: MY .......... DAlE .............................. <br />ZONING: BY L)AIE 5E18ACKS: <br /> <br />HEIGRI: 20 TOIAL 5Q PT: 0 <br /> <br />PR ..... L5 ...... R5 ....... RR .... 5P <br /> <br />5I'ORIES: 1~ PLAN+ACIION: <br /> <br />OFFICE COPY <br /> <br /> <br />