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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 e registered builder. <br />The work win be performed by a registered builder. <br />Other, <br /> <br />.... 50 ................... 1-00 <br /> <br />SAME <br /> / SITE HUHBER= 94-~37~6 = : <br />PHONE: 854-3344 i VALUATION: $77~00 <br /> <br />TYPE: BUILDIHG PERHIT OR APPLICATION NO= <br /> <br />CONTRACTOR. NO. <br />DUKE~ MICHAEL & PATRICIA <br />SAME <br /> <br />PHONE: 8§4-3344 <br /> <br /> Il'EH <br />BOILD~NC FEE <br />PLAN REVIEW <br />DUILDING - INVESTI~ATIOM/90UBLE FEE <br />9UIL9ING STATE SURCHARGE <br /> <br />PAYEE: <br />RECEiVEB BY: DF <br /> <br /> THIS IS,HOT A PERHIT. <br />FOLLO~IHG HOST BE <br /> <br /> ~58341 <br />ARCHITECT/ENGINEER~ NO. <br /> <br />PHONE: <br /> <br />FEES <br /> <br />QUANTITY AMOUNT <br /> $17.50 <br /> $11.38 <br /> $17.58 <br /> $0.88 <br /> <br />$47.26 <br />$47.2~ <br /> $8.80 <br /> <br />TYPE: CHECK ~: 0 <br /> <br /> A REVIEW PROCESS HHERE THE <br />THE: At:~PLICANT fO A~URE THAT <br /> <br />LL HECE~SARY : ':i, ' <br />PLAN REVIEW: BY <br /> <br /> REMARKS: WALL,~S'rNK~ TOILE,T , ,, <br /> <br /> ~ET'BACKS: FR 0 <br />0 LS-O <br /> <br /> sPZ/ <br /> <br /> OFFICE COPY <br />FORM # MC ~ ~-~$ REV, 4/¢0 <br /> <br /> <br />