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MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG. NO, 225
<br />220 HIGH STREET NE
<br /> SALEM, OI~EGON 97301
<br />
<br /> PHONE: 588-5t 47 8:00 - 4:30
<br />24 HOUR CODE-A-PHONE: 588-7904
<br />
<br />of a registered builder,
<br />The work wHI be performed by a registered builder,
<br />Other.,
<br />
<br />WIDTH; ~OEPTH: i AR~A; UNITS; ~IRREG. LOT: CORNER:
<br />
<br />TYPE: DNELLING
<br />
<br />PERMIT OR APPLICATiOH NO: 70467~9 BP
<br />
<br /> ARCHI fE[.,T/EI4GI. I,f:,E.t , NO,,
<br />
<br /> ITEM
<br />DWELL, IN[; BUILDING FEE
<br />DNELI..IN~ PLUMBING
<br />DWEI. I,,, I 1,16, NFCHANICAL
<br />DWELLING I":'LECTR);CAL
<br />DWELI.:r.I~!6 STATE SLIRCNARC;E
<br />DWEI..I,,,,T, N6 PLAN REV!:Etg
<br />
<br />' PHONE:
<br />
<br />CCUAI,IT I TY
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<br />TO'i'AI;,, ASSE.,.~SED PEE~,
<br />PREVIOUS RECEIPTS
<br />T4].o RECEIPT
<br />
<br />AMOUNT
<br /> $208.52
<br /> $76.04
<br />
<br /> $185,,0~
<br />
<br />$566.02
<br /> $0.00
<br />$566,, 02
<br />
<br /> F'AYEF.~ BORG CO,Ir%'r I:NC~-, ~AI,.ANCE DUE $0.00
<br /> RE'CEIVED BY: MB'~'~4~ -,,,,,,.,-. , ....... 4898:L
<br />
<br />.... .~-,.~ ~UST ~E ~OHPLETE~. ~T ~S THE RESPONSibILiTY OF THE APPLiCaNT
<br />
<br />HEIGHT:
<br />TO'¥AL SQ F'f': I295 L0'"5
<br />STORIES::
<br />ELAN. ACTION: R~'"'5
<br />ENERGY PA rlt: SF'Z .........
<br />
<br />LL NECESSARY IHFORMATIOH HAS BEEN
<br />
<br /> ZONING: BY ........................... DATE ...........................
<br /> Sl,,,I l].C,, BY ..................................... DATE .................................
<br />
<br />I:;):TY JURISDICT:~ON: BY ................... DATE ....................
<br />REHARK!!,;:~ DWEI..I_ II4G
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<br />rO.~ # MC t~.~e ~ev. 4~ OFFICE COPY
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