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Permit Issued:April 14, 2014 <br /> Building Permit: 555-14-001809-SEP,Page 2 of 2 <br /> Address:308 Ankeny Hill Rd Se,Jefferson, OR 97352 <br /> Parc!: 093W16 00400 <br /> rlrerr. tixl i ,� p�' w " l 7f9l ,'ERP. df. B7, i !a.ilM sl i;ii.,; ti <br /> Fee Description Quantity Amount <br /> Major alteration 1.00 Ea $652.00 <br /> DEQ surcharge 1.00 Ea $100.00 <br /> Total Fees: $752.00 <br /> Printed on:04/14/2014 2 <br />