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( ) <br /> <br />MARION COUNTY BUILDING INSPECTION <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 />I am a registered builder OR ( ) the guthorized representative SIGNA'rUR~ OF APPLICANT; <br />of a repistered builder, <br />The work will be per¢orrned by 8 registered builder. <br />Other , <br /> <br />OWNER; DATE: 02/05/93 TINE.' 14:42:S2 T.e,',' LO3 CATEGC='' <br /> HUt..DROW~ ED RES~]EN'FtAL <br /> <br /> 7666 EViE t.~E SE CONTRACT ClTY MeG <br /> AUHSV];LLE OR 97525 HARZON COUNTY ~n <br /> <br /> SINGLE FAMILY )~ELLINGS 5 <br /> <br />  IEE EA~CH <br /> / SITE NUMBER: 9~-00474 <br /> PHONE; 769,~2717~ VALUATION: $29~400.00 <br /> <br /> ~-49 AC YE~5 ~u <br /> <br />TYPE: BUILDING <br /> <br />CONTRACTOR, <br />HULDROW, ED <br /> <br />PERMIT OR RPPLICATION NO: <br /> <br /> 9045115 <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: 769~.2717 PHONE <br /> <br /> Il'EH <br />BUiLDZNG FEE <br />PLAN RE¥IEW <br />BUILDING STATE SURCHARGE <br />ZONING SURCHARGE <br /> <br />TOTAL ASSESSEO FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br /> BALANCE OUE <br /> <br />RECEIVED BY: ..................................... <br /> <br />QUANTITY <br /> <br />AHOUN'f <br /> <br />$357 ,, 7'> <br />$3,'57_ 75 <br /> <br />TYPE: OK C, HECK ~; 4648 <br /> <br />* THIS IS NOT R PERMIT. THIS APPLICATION MUST GO THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING MUST BE COMPLETED. IT IS THE: RESPONSIBILITY OF THE APPLICANT TO ASSURE <br /> LL NECESSARY INFORHATIOM HAS BEEN PROVIDED. <br /> <br />~ONIN~: BY _/~ .... DATE-~_-~E~] TOTAL SQ FT: 84.0 <br /> <br /> PLAN.~CTION: <br />C}TY 3URISD'[CTION; BY .................... DATE .......... ENERGY P~TH: 1 <br /> <br />Fo.-. uc ~-,~ ~, 4mo OFFICE COPY <br /> <br /> <br />