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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: 588-514,7' 8:00- 4;30 <br />24 HOUR CODE-A-PHONE: 588~7904 <br /> <br />of a registered builde[., <br /> <br />Other,,,. ~ <br /> <br />this document, <br /> <br />OWNER; D~'~"I,,,. ,~..I./iB/~3 9~'iE,, ~ .~73. ~ ~XA-L~i ......................................... <br /> R E <br />....S~TOS AOD~ESS:~ '~[ EI,.,B~I%~ ..E~M ...................................................... ~6~?~'~5d~'~ .............................. <br /> <br /> 34B fiSFEN DR SE 22 o~AcY CITY <br /> ~UMSVII_LE : :- OR' 9732~ ?: · NUMSV~LLE <br /> <br /> I ~ITE NUN~ER= <br /> PHONE: , j V~LUATIOND <br /> <br />TYPE: BUILI)IN~ PERHIT DR APPLICATION <br /> <br />C~NTRACTOR. 40. 14922 <br /> COMH WoodburY~ Inc <br />285 ~ Pacific Hwy <br />Woodburn. 97071-0000 <br />PHONE: 981-S141 ~' <br /> <br /> ITEH <br />~UILDING FEE <br />PLAN REVIEW <br />BUILDING STATE SURCHARGE <br /> <br />PAYEE: CONH <br />RECEIVED BY: MB <br /> <br />· THIS IS HOT <br />FOLLOWIN~ MUST BE <br /> LL NECESSARY <br /> <br />ARCHITEC'I/ENGINEER~ NO. <br /> <br />PHONE: <br /> <br />FEES <br /> <br />QUANTITY AMOUNT <br /> $38.50 <br /> $25.03 <br /> $1,93 <br /> <br />$65.46 <br /> $0.00 <br /> <br />$0.00 <br /> <br /> 52834 <br />TYPE: IN CHECK ~: 0 <br /> <br />REVIEW PROCESS WHERE THE <br /> TO A~P:JURE THAT <br /> <br />PLAN REVIEW: BY, .2 <br />ZONING: BY <br />SEPTIC: <br /> <br />CITY JURISDICTION: BY ~ DATE ENERGY PATH: <br />R~HARKS: CARPORT <br /> <br />SETBACKS: FR <br /> l.S ............ <br /> RS ........... <br /> <br /> sPZZ',TT, <br /> <br />~o~M # MC ~S.~ ~v, ~ OF FICE COPY <br /> <br /> <br />