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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 /> am performing work on a property I own or occupy. <br />am a registered builder OR ( )theautbori~edrepresentative <br />of a registered builder. <br />The work will be performed by a registered builder. <br />Other. <br /> <br /> DATE: iZ/05/~2 1!; ~8:~0 <br />i OWNER: CATEGORY: <br /> WALTERS, JO AND RAY !. 591000 ¢ RESIDENTIAL <br /> <br />' <br /> ~ BUTTEVZLLE RD NE ~OcbUPANT LOAD: <br /> ~UROR~ OR ~7002 H~R]ON COUNTY NO <br /> <br />~USE OF ~UICDING; <br /> SINGLE FAMILY DWELLINGS : <br /> <br /> 8416 LAYFAETTE WAY <br />: WILSONVILLE, ORE,ON 97070 SITE NUMBER: g2-04086 <br /> PHONE: 694--5488 VALUATION: $1~0.000.00 <br /> <br />:LOT: BLOCK: ~ SECTION; ~' TOWNSHIP: ~ ~'~; <br /> <br />TYPE: DWELLINS PERHIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 28595 <br /> KRAXBERLER CONST <br />Z1520 So Macksburg Road <br />Canby, 97013 <br />PHONE: 266-5588 <br /> <br /> ITEM <br />DWELLING BUILDING FEE <br />DWELLING PLUNBING <br />DWELLING HECHANICAL <br />DWELLING ELECTRICAL <br />DWELLING STATE SURCHARGE <br />DWELLING PLAN REVIEW <br />DWELLING ZONING SURCBARGE <br /> <br /> 9044229 DP <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br />~OT'AL. ASSESSEO F~ES <br />REVI.OUS RECEIPTS <br />THIS EECEIPT <br /> <br /> BALANCE DUE <br />PAYEE: WALTERS, JO AND RAY <br />RECEIVEO BY: CL .................................... <br /> <br />TYPE: OK <br /> <br />QUANTITY AMOUNT <br /> $465_87 <br /> $169.15 <br /> $42.14 <br /> $152.08 <br /> $40.56 <br /> $185.00 <br /> $15.00 <br /> <br />$1~047_60 <br /> $0.00 <br />$1,047.60 <br /> <br /> $0.00 <br /> 46577 <br />CRECK ~: 86 <br /> <br />· THIS IS NOT A PERMIT. THIS APPLICATION MUST CD THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING MUST BE COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />LL NECESSARY INFORMATION HAS, BEEN PROVIDED. <br /> <br />PLAN REVIEW:,~ .... ~__~ OATE~_~.~_-~_~ <br />SEPTIC: BY ..... ~ ......... <br /> <br />CITY JURISDICTION: BY ......... DATE <br />REMARKS: DWELLING <br /> <br />HEI 6HT: <br /> IOTAL SQ Fl': <br /> STORIES: 1 <br /> ~L¢N~CTION: <br /> ENERGY PATH: <br /> <br />2883 <br /> <br />SETBACKS: <br /> <br /> OFFICE COPY <br />FORM # MD 15-56 RBV, 4/90 <br /> <br /> <br />