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MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Senator Building ~ 225 <br />a. :220 Higlq St., N.E. 2nd Floor <br /> Salem, Oreg~m 97301 <br /> R.H. WlTHROW. BLDG. ADMINISTRATOR <br /> <br /> By:~ <br />588-5147 -- 588-5148 <br /> <br />t No: ._~- Ik. NO:. 2 Sub dy. ~rl~ .'r.t'~eo Lot Size <br /> <br />TU: ....... <br /> <br />Valuation: <br /> <br />Permit <br />State Surcharge: .... 4 ,..~,~ ........ <br /> <br />Plans Chk. Fee: <br /> <br />Sap'~ic Permit Fee: ~7o~0 <br /> <br />Total Fees: <br /> <br />Rcpt. No: ~ ........... <br /> <br />PLEASE NOTE: Otiey and ;id~walk inq~e~ions are re(luired by Public Works: 58~4[[O36 <br />Othe~ I~rmks reclulrExI by this dept'- P~umbin~ [] Ele~zical [] <br /> <br />L <br /> <br /> <br />