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MARION COUNTY BUILDING INSPECTION <br />SENATOR E~LDG. NO, 325 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 5~-5147 8:00- 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am a registered builder OR the authorized reocesen~a{ive <br />of a regiSteKGCf builder. <br /> <br />sIGNA?URE OF APPL}CANT~ ............................................ <br /> <br /> DATE: .................................................. <br /> <br />12173 ~EST ST~YTON RD SE <br /> <br />TYPE: ~UILDIN~ <br /> <br />CONTRACTOR. <br />WELL8~ JEFFERY <br />SAME <br /> <br />PER~IT OE APPLZCRTION I~: 4~ <br /> ARCHITECT/ENCINEER~ NO. <br /> <br />PHONE~ <br /> <br /> ITEM .- <br />BUZLDIflG FEE <br />PLAN REVIEW <br />~UILDIH~ STATE SURCMARGE,', :'"' <br />ZONIN~ SURCHARGE <br /> <br />PHONE= <br /> <br />[3UANTITY <br /> <br />AMOUNT <br /> <br /> $52.3J <br /> $4.03 <br /> <br />ENERGY PATH: STORIES= 1 RS-lB <br />REMARKS~ GARAGE ~ND ROOF ALTERATION'.· <br /> <br /> <br />