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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 ~ registered builder, <br />The work witl be performed by a registered builder. <br />Other <br /> <br />this document. <br /> <br />SIGNATURE OF APPLICANT <br /> <br />F LE <br /> <br /> WIL. SON~' GL.I;,NN' - H & ALICE' N ~ 7~ 050-;16~- ~ [kFSI!0 :'N'f]'A' <br />81TU~ ADORESS; ] CONSTRUCTION TYPE: ~ OCCUPANCY'. <br /> <br /> 116~1 STEINKAHP R~ ~E ~CONTRACT CITY'. ~ UGh; EOCC~PANT ~OAD; <br /> <br />~6847 6ILKEY RD <br />8610 OR ~7025 <br /> <br />SUBDIVISION: <br /> <br />SITE NUMBER: 73-03888 <br />VAL. UATION: $0.00 <br /> <br />TYPE: SUIL~IN~ PERHIT OR APPLICATION NO: <br /> <br />CONTRACTOR. N0,, <br />WILSON. GLENN H & Al. ICE H <br />~6647 GILKEY RD <br />SC]lO OR 97~25 <br />PHONE: <br /> <br />ITEH <br /> <br />ARCHITECT/ENGINEER~ <br /> <br />NO. <br /> <br />QUAN'¥tTY <br /> <br /> ; AMOUNT <br /> $0,, 00 <br /> TOTAL ASSESSED: F'~ES $0.00 <br /> <br /> $8.~0 <br /> PAYEE~ <br /> RECEIVED BY: MB TYPE: CHECK ~: <br />t THIS IS NOT A PERHIT. ~ST ~O:TH'ROUGH A REVIEW PROCESS <br />FOLLOWING flUST BE COMPLETEg[:::: ITY OF THE APPLICANT TO ASSuEEWNERE THETHAT <br />LL NECESSARY INFORMATION :~AS,' BEEN ,:: <br /> <br /> F'L~N <br /> R~VIEW: <br /> BY <br /> <br /> CITY JIJRIoDICTION.° "BY ::, :~ATE ENERGY PATH:: <br /> SP' ....... <br /> RE~ARKS: AGRICULTURE BL, DG EXEHPT APP <br /> <br />FORM # MC 15.56 REv'. 4/90 OFFICE COPY <br /> <br /> <br />