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MARION COUNTY BUILDING INSPECTION
<br />SENATOR RLDG. NO. 225
<br />220 HIGH STREET NE
<br /> SALEM, OREGON 97301
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<br /> PHONE: 588-5147 8:00 -
<br />24 HOUR CODE-A-PHONE: 588-7904
<br />
<br />Other
<br />
<br />b',~'a: DA E,. ra4/~f,/gz, ]:HE. e)._? ,.4 TAX LOT.
<br />
<br /> ;AI.I..A;~HER SUE & F:UTH T¢~UHF'
<br />
<br /> AUHSVILLIF
<br />
<br /> MAILING ADDRESS: SUSDIVISION;
<br /> ~ ......
<br /> 6St, fl.8 ,SHERMAN RI) SE
<br /> AU H S V]] I... k.l~: OR ~7;2~ ~ SITE NUMBER: ~3-81144
<br /> PHONE:: '74%.-27~5 VAI_.UA'fI[II~: $4,~ 4
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<br />: LOT; ~EbdK:
<br />,_ ~.~, _ 9_,. ~ ~.~.~ ....... SI NO ~3 ..........................
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<br />TYPE: BUILDING PER~IT OR APPL[CATIOH NO:
<br />
<br />BUIL.!)]:N6 F'EE
<br />PLAN RE¥IEW
<br />]~U'.[L:O'.I:NG STATE ~URC, HARGE
<br />
<br /> ~B46178
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<br />AM~,Hi l ELT/~d IG.[ HLI:.R,~
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<br />F'HONE:
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<br />TOTAL ASSESSEI) FEES
<br />PREV]:OUS RECEIPTS
<br />'[:HIS RECEIPT
<br />
<br />'[. AL. AN[:,I:. DUE
<br />
<br />£,![JANT tTY
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<br />AHOUN-:'
<br />
<br /> ft ,5,:-. I:H5
<br /> '1, ..-..... 3
<br />
<br /> "," ", 40391
<br /> F'AYI"_'iE:: GAL, I.Ab-14Ek,~ SUE &RUTH TRUNP
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<br />~ T~IIS I~ NOT A PE.R~IT, THIS APPLICATION MOST ~ TNROU~,H A IREVIEW PROCESS WHERE THE
<br />FOLLOWING MOST BE COMPLETED, IT IS THE RESPONSIBILITY 0F THE APPLICANT TO ASSURE THAT
<br />
<br />:HET()H¥i-: :L2 o[:.[EA/.,k.,: ,,F'R ~.~
<br />TOTAl., SLt F"]'~ 448 LS /
<br />STORTES: :[. -~ .......
<br />PLA q. AC,T,,~[[tN,~ [:U;'..t, 0
<br />E,ERGY FA I-,:
<br />
<br />LL NECESSARY INFORMATION NAS BEEN PRO¥II)EB,
<br />
<br /> ZO;,IING:~ ~Z4y /7/ .............. DATE .......... --"
<br /> C.L ,,JU R ,t, ,.~ ~ J. C T.[ 0,4. ~¢Y ..................... DATE ......................
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<br />,,EHAI ,,, C,,A,t~PCIF;T
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