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MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG. NO. 225
<br />220 HIGH STREET NE
<br /> SALEM, OREGON 97301
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<br />Other ,,
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<br /> PHONE: 588-5147 8:00 - 4:30
<br />24 HOUR CODE-A-PHONE: 588-7904
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<br /> B EI,I'!'Z ,~ K t!:_' N i
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<br />:: , 5--q
<br />( ~83~ SHAW -~Y SE ~f~XC~'~i~; i'~a~,.
<br />; At. IHSVZI.,,IE OR 97825 i ~ARZON COUNTY[
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<br />~ RESIDENTIAL, ACCESSORY STRUCTURES
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<br />~WIBTH'. iBEPTH'. AREA: ! UNIT~: i IRREG, LOT: J OORN~R'.
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<br />TYPE: BUILDIN~ PERMIT OR APPLICATION
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<br /> Tradem]rk LonstrMction
<br />~55 N Douglas
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<br /> Il'EH
<br />BUILDIN(; FE'E
<br />PLAN REVIEW
<br />~U'.[L~IN6 STATE
<br />ZONING SURCHAR[;E
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<br />AR(Jrt.l, TECT/Ei [,, :[, t]: ;il '% NO..
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<br />PHONE
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<br />QUAt-ITITY
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<br />AMOUNT
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<br /> $32.83
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<br />$88 .. :~9
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<br />$88,. 39
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<br />BALANCE DUE $0 ,,
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<br />AYEE. BENTZ~ JAHkT F
<br />kLI,E].VED BY,. c.L 48~6J.
<br />.......................................... ========================== ......... :: ............ =.,,,_~ I'YI::';~ CK CF/t£CK :~,; :L472
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<br />PLAN kEVIEW. BY,=,,,.,., DATE ~
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<br />~. , ,,i · ,, ,. ,i ......................... , .................... . ...................
<br />SE/- FI{',.,, Z~Y ............................ ~m/l:. '"'~"'
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<br />CITY JUkI,,~DIC,~ION. BY ................. gATE .........................
<br />REHAI',['KS= ~ ES/ACC CARPQRT
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<br />l"llE,:t:6 H'F = Si;." .... f BACK,~,' ,c',,; F R ..~ 9
<br />fOTAL Sl:.) IFF., 44,q') S _y ~
<br />S'['OJ'~ I E.'S: I F',S-/-~'
<br />PI._AI~!~ AC,T.,I Off: I~iR'-~-'
<br />ENEF~t;Y FATH: S P _'~ ]','.].'"_'
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<br />OFFICE COPY
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