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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 />of a registered bullde¢, <br /> <br />" "I ~O~TRACT CITY; i UGB; I C~'PANT LOAD: <br />~ B16:~ M,,I,,,, CREEK RD SE <br /> AUMSV ]'.LI_,E <br /> <br /> 8163 MILL CREEK RD <br /> <br /> PHONE: 747-2~7 <br /> L VAL, UA'r]:ON: $1~ 368,, <br /> <br />WIOT,; DEPTH: <br /> <br />TYPE: BUILDING PER~IT OR APPLICATION <br /> <br /> ITEM <br />'/ J)" 't; F'=E <br /> <br /> 986~948 <br /> <br />AR ,CH ZI'ECT/ENG l NEER,~ <br /> <br />PHONE: <br /> <br />PAYL-':E~ B&K CO h:>FRU[ ]ION <br />NF:CEIVED BYi' DF' <br /> <br />TOTAL ASSES~E~ FEES <br /> <br />~Y <br /> <br />QUAP, ITITY AMOUNT <br /> $86.5(~ <br /> $56,, 23 <br /> <br /> $4,, 33 <br /> <br />$1 !"~ 1 ,, 39 <br />$15:L,.'39 <br /> <br /> ( 3,J 7 o <br />TYPE: CK CHI;,CJ\ ,, [~ f ~ <br /> <br /> REVIEW PROCESS WHERE THE <br />THE APPLICANT TO ASSURE THAT <br /> <br />864 <br /> <br />OFFICE COPY <br /> <br /> <br />