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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 /> Other. <br /> <br />~AI'E: 01/'t','~/95 TIME: :L2=17~25 <br /> <br />CAMPBI?.I,L NOMES <br /> <br /> OR ~7~25 ~SVIELE <br /> RESIDENTIAL ~[:CE:SSDRY S'FRIJC'f'URES <br /> <br /> PH(]RE: ~8I-'4125 VALUATION: $3~ 261. ~e <br /> <br />TYPE~ BUILDING <br /> <br />PERNIT OR APPLiCATIONNO: <br /> <br /> ITEH <br />BUILQING FEE <br />PLAN REVIEW <br />BUILglNG STATE SURCHARGE <br /> <br /> 906~771 <br />ARCHITECT/ENGINEER~ NO, <br /> <br /> PAYEE: Capi, tol Awning / <br /> RE[,EIVE~ BY~ PM ' <br /> <br />FOLLOWING NUGT BE <br /> LL NECESSARY <br /> <br />PHONE= <br /> <br />B <br /> <br />EIPTS <br /> <br />QUANTITY AMOUNT <br /> $44.50 <br /> <br /> $2.23 <br /> <br />$75.68 <br /> $0.00 <br />$75.56 <br /> <br />' ......... <br /> <br /> 6~404 <br />TYPE: ~N CHE6K ~: 0 <br /> <br />REVIEWPROCESS ~HERE THE <br /> APPLICANT TO ASSURE THAT <br /> <br />PLAN REVIEW: llY HEIGHT: <br />ZJNI4G. BY TOTAL S6~ FT: <br />.EFII(,. BY .................... "'- STO~ES. ': <br /> ................................. PLC~N,, AC~ IOl>l~ <br />CITY JUk.I, SDI[,t~UN,, BY DhTE ENERGY F'A'TN: <br />RF, HhRKS; ChRPORT ' <br /> <br /> SI"_"TBACKS: FF¢ 10 <br /> :J80 LS- <br />,1. I:d.'] "~ ...... <br /> RR"" :L 0 <br /> <br /> OFFICE COPY <br />FORM # MC 15-B6 REV. <br /> <br /> <br />