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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 a registered builder, <br />The work will be performed by a registered builder. <br />Other <br /> <br />.................................... ; ............. { (~0 OF BEDROOMS: <br /> <br /> PO 8OX 155 <br /> AUHSVILLE. OR 97;.~25 I SITE HUHBER: 95-~8482 <br />, PHOHE': 7,1~).-274 J. VALUATION: $728. <br /> <br />TYPE: BUiLDZHG PERItlT OR APPLICRTTOH HOc 61847 <br /> <br />CON TRA[.~ OR, ILO,, ARt~H;I:TEC'r/ENG I NEER,~ <br />GOURI,.F. Yo JEANETTE <br />PO BOX 15,5 <br /> <br />PHONE~ 749-,27~. ,,:; <br /> <br /> ITEH <br />BUILDING FEE <br />PLAN REVIEW <br />]8UILDING STA':rE SURCHA~G~ <br /> .:FEES <br /> <br />RECEIVED BY: PM <br /> <br /> ~ I AVLD <br /> <br />EBUTREHEHTS DF STATE <br />ALL ~EEGHE HULL AND <br /> <br />biO. <br /> <br />QUAH'TITY AHOtJNT <br /> $I ~. 50 <br /> $9,, 45 <br /> $0.73 <br /> <br />$24.68 <br />$24.68 <br /> <br />: TYPE: CI"IE¢K 4h: 0 <br /> <br />FROI~ ITS ISSUE DATE. IF <br />FAILS TO MEFT ALL <br />ZDHIN~; ORDINANCES, THIS PERMIT <br /> <br />SETBACKS: !:"R 28 <br /> LS'"'5 <br /> <br /> RR "5 <br /> <br />**REQUEST 1, ., [ /I <br /> <br />DON~:t.h l!,, WOODLEY~ HAF,'IDN C[IUN1Y BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />