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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 /> <br />The work will bo ge ormedbyaregbteredbuilder. <br /> <br />DATE: 07114/92 <br />DALKE, GREG <br /> <br />TIME: 12:14:59 <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> DATE: <br /> <br /> CONSTRUCTION TYPE: <br /> <br /> MICHAEL WAY <br />AUMSVILLE OR 97925 ~ed~§*'/;ITL~r~: [Um~ <br /> <br /> FAMIL BW LLZNGS <br /> <br /> PARCEL ~1 <br />5805 HACLEAY RO SE <br />SALEM OR 97301 SITE NUMBER: <br />PHONE: 588-6977 VALUATION: <br /> <br />LOT: BLOCK; ~CTION: ToWNshIP: RANGE; <br /> 25 89 2W <br />WIDTH; BO ~EPT.; 170 A"EA: UNIT~:F : ~R~'LOT: <br /> <br />OCCUPANT LOADZ <br /> <br />92-02.570 <br /> $87,030_00 <br /> <br />ZONE: MAP: <br />RS <br />cGRh~h: <br /> <br />TYPE: DWELLING PERHIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 62267 <br />Greg Galke Pacific Rain Oonst <br />5805 Macleay Rd SE <br />Salem, 97301 <br />PMONE: 588-6977 <br /> <br />ITEM <br />OWELLING BUJ[LDING FEE <br />DWELLING PLUMBING <br />DWELLING MECNANICAL <br />DWELLING ELECTRICAL <br />DWELLING STATE SURCHARGE <br />DWELLING PLAN REVIEW <br /> <br /> 9041240 DP <br />ARCHITECf/ENGINEER, NO. <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />AMOUNt <br /> $388.41 <br /> $141.65 <br /> $35_29 <br /> $lZO.,60 <br /> $33.80 <br /> $185_D0 <br /> <br />$894_75 <br /> $O.DD <br />$894.75 <br /> <br /> BALANCE DUE $0..00 <br /> PAYEE: Greg Dalke Pacific Rain Const ~41~ 432B3 <br /> RECEIVED BY: PB ~7 TYPE; IN CHECK ~: 0 <br /> <br /> *THZ$ IS N0~ n PERMIT. THIS APPLICATION HUST GO THROUGH A RE¥~EW PROCESS WHERE THE <br />FOLLO~IN6 MUST BE COMPLETEB. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br /> <br />LL NECESSARY INFORMATION HAS BEEN PROVIDED. <br /> <br />P AN REVIEW; <br />SEPTIC: 8YZZ_.Z_..ZZZZ <br /> <br />CITY JURISDICTIOM: BY ............. OATE ............. <br />REMARKS; NEW RES <br /> <br />HEIGHT: SETBACKS: FR._.20 <br />TOTAL SQ FT: 2414 LS._5 <br />STORIES: & RS 8 <br />P~AN.ACTION: RR~.5 <br />ENERGY PATN~ I SP ........... <br /> <br />OFFICE COPY <br /> <br /> <br />