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4 <br /> <br />MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HiGH STR~:ET NE <br /> SALEM, QREGON 97301 <br /> <br /> PHONE:588-5147 8:00- 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> I am performing work on a property I own or ocoupy. <br /> I am ~ registered builder OR the authorized representative S~GNATURE OF APPLICANT: ...................................................... <br /> of ~ registered builder, <br /> <br /> Other ' <br /> I have read and agree to the terms stated on the reverse side of DATE'. ....................................... <br /> this document, <br /> <br /> DATE: 11/29/93 TI;HE;; <br /> <br /> 11698 WARBLER LANE NE ................................. <br /> <br />~'o~ mUIL~iDENT~AL ACCESSORY STRUCTURES . ~NO. OF BEDROOMS: <br /> <br /> T CENTURY HEADOW~ ~4 <br /> 3528 MAPLE ~TR~ET , / ..................................... <br /> I~IJBBARD ~7~32 DAYTI~ 684-42~ SUE ~ SITE NUMBER: 9~-8~836 <br /> FHONE: 98t-8~ ' / VA,,.UAT~ON: <br /> <br />.[ <br /> <br />TYPE: BUILgIN& PERflIT OR APPLICATION <br /> <br />CONT~qCTOR~ NO~ 58291 <br /> DAN9 MOBILE HOHE SERVICE <br />PO BOX 1101 <br />WOODBURN. 97071 <br />PHONE: 263-52~2 <br /> <br /> §13&4 <br />ARCHITECT/ENGINEER. NO,, <br /> <br /> ITEM QUANTITY AMOUH'F <br />BUILDING FEE $50.58 <br />PLAN REVIEW <br />BUILDING STATE SUROHA~ <br />ZONING SURCFIARGE $2.5~ <br /> <br />$88,,~9 <br />$0.,00 <br /> <br />PAYEE: <br />RECEIVED BY: DM2 TYPE: CHECK :~: 0 <br /> <br /> I THIS IS A VALI~ <br />CONSTRUCTION CEASES <br />EOUIRENENTS OF STATE <br />ALL ~ECONE NULL AND <br /> <br />$0,, 00 <br /> <br /> ITS ISSUE DATE. IF <br />FION FAILS TO NEET ALL <br /> ORDINANCES, THIS PERHIT <br /> <br />~NERG¥ PA'T'H: <br /> <br />REMARI<S~ CARPORT <br /> <br />488 <br /> <br />ENERGY PATH: <br /> <br />SETBACKS: F'R 10 <br /> <br /> RS-7.5 <br /> RR-O <br /> <br />90NAL, D E. WOODLEY~ <br /> <br />OFFICE COPY <br /> <br /> <br />