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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 <br /> CODE-A-PHONE 4:30 RM, - 8:00 A,M, <br /> <br />lamperfor~Jn§workonapropodylownofoccupy. ~. .,~' '~¢"~'X <br />I am a regl~lered builder OR ( the authorized ¢epresentative SIGNATURE OF APPLICANT: - <br />Of a registered builder. <br /> <br />ow~hTEt 09/08/89 T.u,E: .30:~4~ <br /> <br /> WALL.. fROM, GARY <br />SITUS ACORESS; <br /> <br />CONSTRUCTION TYPE: <br /> <br />RES Z 0EN F L ;d.t, <br /> <br /> CONTRACT OITYI <br />87a9 DARLEY RE) ,SE <br />?dJi~,SV l LLE OR 9?325 <br />us~ o~ aU~LL~N~: NP, R I ON COUNTY NO <br /> <br />MA~LINGADDRESS: S~NGLE FAMILY ~4ELL].NGS <br /> <br /> PHONE: 743--273! <br /> <br />W~DTH: DEPTH: AREA: ! ~ UNITS: <br /> "/~ 285 2 ~ 7740 . SF <br /> <br />IRREG gOT: .?/~ CORNER: EFU ,.,~c ,~ <br /> <br />NO NO <br /> <br />'r'ypl!:Z: [~lJ I L. D 1 <br /> <br />(','ONr'RACTOR, NO, '13780 <br />14S~TERN I ~,,! '~'C_,'R l 0 RS <br />o.C) BOX 58 <br />7'UR%ER, O?<EC40N 9?392 <br />PHONE: 74¢-.2:03 <br /> <br />PERMIT O~i~ ,A, PPLIC;AT!ON <br /> <br /> I <br />8UIL. DING FEE <br />PLAN REVIEW <br />CLEET SURCHARGE '-ZONE <br />BUiLDiNG STATE SURCtiARGE <br />ZONTNG <br /> <br /> 9038889 <br /> <br />,aRCH I-FECT/ENG;NEER, <br /> <br />'~H ON E; <br /> <br />PAYEE: NESTERN ;NTERIORS <br />RECETVED gY: r~ <br /> <br /> ,o NOT A PER, ET, <br />~'Ot, LOHING MUST BE C~PLETED <br />ALL NECESSARY <br /> <br />TOTAb ASSESSED'FEES <br />P~EVZOUS RE~ErPTS <br />T~S, RECEZP= <br /> <br />O()AN Y I Tv A?OUN T <br /> $' 16.5{i <br /> $75. s3 <br /> $3 !.*,4 <br /> $5.93 <br /> $5, S'i} <br /> <br />$O,0O <br /> <br />$0,30 <br /> <br />CHECK ~; 809 <br /> <br /> P""' TH E <br /> ROCES,~ ~,~H ERE <br />'rile APP~'~!C,~.NTM TO ~'~' ~ ~'?,~-T <br /> A,,..>.>~, R~:. <br /> <br />OFFICE COPY <br /> <br /> <br />