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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 />I em a registered builder OR the authorized representative <br />of a registered builder. <br />The work will be performed by a registered builder. <br />Other <br />I have read and agree to the terms stated on the reverse side of <br />this document, <br /> <br />TYPE= DUILDING <br /> <br />CONT~I'YTOR~ N~. <br />Del HcCmmzck <br />518 Va i].eywoo¢ <br /> <br />PHONE~ <br /> <br /> ITEH <br />~UIL,gIN6 FEE <br />PL~h REVIE~ <br />BUILDING STATE SURCHA~6{ <br /> <br />PERMIT OR APPLICATION NO: 5~52016 <br /> <br />42256 ~IRC H T TECT/ENG ii; N E El% NO., <br /> <br />PHONE.' <br /> <br />QUANTITY <br /> <br /> PAYEE: Del HcCorn:[ck <br /> RECE]:VED BY: p~ ...... <br /> <br /> * THIS IS NOT A <br />FOLLOWINC HUST 9E <br /> LL NECESSARY <br /> <br />Pi. Alt REV]:EW: BY <br />ZONING: BY <br /> <br />CITY ,II, IRI,~Di[CTION,, <br /> <br />F~E'MARKS: CARFmORT <br /> <br />AMOUNT <br /> <br /> $25.03 <br /> $1,, 9S <br /> <br /> $65.46 <br /> $65.46 <br /> $0.00 <br /> <br /> 54465 <br />TYPE~ IN CHECK ~: 0 <br /> <br /> REVIEW PROCESS WHERE THE <br /> APPL[C~HT T~ ASSURE THaT <br /> <br />SETBACKS: <br /> <br /> FR 10 <br />LS <br /> RS'"~ ........ <br /> RR ":1.~ <br /> S F'"' <br /> <br />~on~,~ MC ~-~ n~v, ~ OF FICE COPY <br /> <br /> <br />