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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 />of a registered builder. <br /> <br />Other_ <br /> <br />have read and agree to the terms stated On the reverse side of <br />this document, <br /> <br /> STTE NUHBER: 93-1~428~ <br /> PHOI,IEt~ 585-.08~2 VALUATIOf4: $~ 000.88 <br />_CT'. BLOCK; B~CTION; TOWNSHIP. RANGE: ZONE'. MAP: <br /> <br /> DEPTH; LOT'. <br /> <br />TYPE: BUILD[HO PERH~T OR APPLICATIOH NO: 52816 <br /> <br />C f)Ffl:~A C'l'Ol:~ ~ i,lO. 42256 ARCHI TECT/ENG ]]4EER., <br />518 Valleywood D~' SE <br />PHBI,E. ~,,-171 J PHONE= <br /> <br />NO. <br /> <br /> ITEM QOAIITITY At4OUhlT <br />BUILD]:NC, FEE ,~ $~;8.50 <br />PLAI,,I REV.I:EW $,~5,, 8,¢ <br />BUtL~IN6 STATE $I.95 <br /> <br />S <br /> <br />PAYEE: <br />RECEIVED BY: cr TYPE: CHECK ~: 0 <br /> <br /> ~ THIS IS A YALI~ <br />COHSTRUCT[OH CEASES <br />E~U[REMENTS OF <br />ALL ~ECO~E NULL <br /> <br />EIER~,Y PATH: <br /> <br />~EMAI(K,,. CA[~POF:I' <br /> <br />!~&5.46 <br /> $0.00 <br /> <br />$0.08 <br /> <br /> DATE. IF <br />TO MEE~ ALL <br />ORDINANCES, THIS PERNIT <br /> <br />SET[~ACK~: Fir( :[0 <br /> LS- <br /> F~, ~,,3 -" ~2 ...... <br /> <br />~)OI,1ALD E.. WOODLEY, HAFd:OJ,I ~OUNT~ ~I.IIL~I~G OFF!CIAt / BY <br /> <br />FORM # MC 15-~$ R~, 4./~O OFFICE COPY <br /> <br /> <br />