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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />¢'20 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 />Other <br /> <br /> I,dWNE,,' I)~41',1,~:= :L1/,tSl~)3 ..... :~,,If4E,.---~16:-7~7,-,-l-~ .................. 'TA'~-[b'r: ................................ b*Y~b'~¢; ........ <br /> DAV'[DSON~ JAHE3 & ME [~A 9~22~-46~ RES,[DLN~IAL, <br /> SITUS ADDRESS, CONSTRUCTION TYPE; ~O~O~N~: ....... <br /> <br /> 368 SANT'.[AM CONTRACT CITY'. 06~: ......... OCCUPANT LOAD; <br /> m .... .... . DETROIT NO <br /> R~J'SIDENTIAL ACCESSORY STR JCT JRES .......... r <br /> ~'~d~b'MS' <br /> <br /> ~A,U~S AOO~ESS. .................................. ~ ~-O'~bT~%g7 ................................................... <br /> <br /> gEI'ROIT OR 77~42 ~ ~ITE NUMBER: ~3-8~884 <br />~ PHONE: 854-~45~ <br /> <br />TYPE: BUILDING PERNIT OR APPLICATION NO: <br /> <br />CONTRACTOR~ NO. 62928 <br />Dan Gil MOLU' <br />3884 Buena Vista Rd <br />Jefferson~ 97352-8088 <br /> <br /> ITEM <br />BUILBING FEE ,: <br />PLAN REVIEW '"~ -~'.~. <br />B[J:[LDING STATE SURCHARGE <br /> <br /> FAYEE. <br /> RECEIVED BY: <br /> <br /> · THIS IS A VALID <br />CONSTRUCTIOH <br /> ~OUiREHENTS OF STATE <br /> ALL BECONE NULL ANO <br /> <br /> 51259 <br />ARCHITECT/ENGINEER, <br /> <br />NO, <br /> <br />QUANTITY AMOUNT <br /> $122.58 <br /> $79.63 <br /> $6.13 <br /> <br />:S <br /> <br />$288.26 <br />$208.26 <br /> $8.00 <br /> <br />$8.00 <br /> <br />TYPE: CHECK <br /> <br />ITS ISSUE DATE. IF <br /> FAILS TO MEET ALL <br /> ORDINANCES, TH~S PERHIT <br /> <br />ENER6Y PATH: <br /> <br />REMARKS: GARAGE <br /> <br />ENERGY PAI'H: <br /> <br /> SErBAf,,KS. FR 20 <br />1184 LS"-5 <br /> RS-'5 <br /> RR'"':I. 5 <br /> <br />DONAIJ) E. WOO~)LEY, MARION COU~'~ / BY' <br /> <br />FORM # MC 1~56 REV, 4A10 OFFICE COPY <br /> <br /> <br />