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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 am a registered builder OR ( ) the authorized representative <br /> <br /> R E: !i~ ): .~) i:~ N "i' ]: 'A L <br /> <br />! <br /> <br /> 3 6 ~" ~' SE 22 ~ACT CITY'. UGB ~ANT <br />~ .4 AoFEN ~m ~ ,, - . , . ~ ,~ , <br /> AU~SVZI_LE OR 97325 AU~SVIL, LE <br /> <br />~-~-~i~'~ ~55'~ ............... susmws~o~ <br /> <br /> PHONE: [ VAL. UATION. $~ <br /> <br />TYPE: <br /> <br />CONTEACTOR, NO. 14922 <br /> COMH Woodburn <br />285 S Pacific Hwy <br />Woodburn~ 97871-88~ <br />PNONE: 981-S141 : <br /> <br /> ITEM <br />B[JIL. DING FEE <br />RI. AN REVIEW " <br />BU~I_DZNG ~TATE SUECHA~ <br /> <br />PERMIT OR APPLICATION <br /> <br /> 51398 <br />ARCHITECT/ENGINEER, NO.. <br /> <br /> PAYEE: <br />,:RECEIVE~ BY: CL <br /> <br /> * THIS IS A VALID <br /> <br /> E~UIREHENTS OF STATE <br /> ALL BECOME NULL ANDiV~I! <br /> <br />EN L:.R L~Y PATH: <br /> <br />REMARKS: <br /> <br />I)ONALI) E. <br /> <br />QUANTITY AMOUNT <br /> <br /> $25. <br /> $]..9~ <br /> <br /> ES $6~5,, 46 <br /> $F~5.46 <br />~ ,$~. 00 <br />i~ $0 00 <br /> '~!~i TYPE: CHECK ~: 0 <br />~,~OH ITS ISSUE DATE. IF <br /> FAILS TO MEET ALL <br /> D~DINANCES, THIS PERMIT <br /> <br /> 2 S.FTBACKS: FR :1,:1, <br /> ,300 LS""iO <br /> r sZ' .o <br /> RR <br /> ENEE~Y PATH: SP;] ........ <br /> <br />CARPORT ....... · <br />WOODLEY, HAd.ION COUNTY BUZL~IN~ OFFIC..AL / BY ...... <br /> <br />FORM # MC 15-56 R~V, 4j~O 0 F FICE COPY <br /> <br /> <br />