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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 />l afflperfofrrSngworkonabropertylowrlorocculiy. <br />I am a registered builder OR ( ) the authorized representative SIGNATURE OF APPLICANT: <br />Of a resistered I~uilder, <br />OtherThew°rkwillbegerf°rn~edbyareSisteredbuilder' <br />I have read and agree to the terms stated on the reverse side of DATE'. <br />this document, <br /> <br /> DA'rE.. 09/09/93 ...... ~:IiiE: 18:~8=1~4 <br /> <br /> 'rOWLES~ C~RL F, <br />SITUS ADDRESS <br /> <br /> TAX LOT <br /> 40380-808 RESIDENTIAL <br /> CONSTRUCTION TYPS ~DCUPANC¥ <br /> <br /> __5~N .................... <br /> NE CONTRACT C]TY~ UbS; ODDUPANT~OAD; <br /> 97882 HARIOI~ COUNTY NO <br />........................................................................... <br /> <br /> 1~890 MURRAY LN <br /> AURORA OR <br />'O~i'~P'§~CD~ ................ <br /> SINGLE FANILY DWELLINGS <br /> <br />12910 SW FZSCHER <br />TIGAE~ OR 97224 <br />PNONE: 6~9-4844 <br /> <br /> /- <br /> <br />VALUATION~ $2,800.00 <br /> <br />....................... ~ ................................ 11 .................... 4S <br />WIDTH; DEPTH~ AR~A; DNITS; <br /> <br /> .. NO NO <br /> <br />TYPE~ BUILOING PER~IT OR APPL 9B47775 <br />CONTRACTOR~ NO. 28799 <br />,?INNV,LI.E PAOTO Y ,O,ES ,O,I ECT,ENG,NEER. NO. <br /> <br />MCMINNVILLE~ ~7128-8000 <br />PHONE: 967-8~5§ PHONE: <br /> <br /> Il'EM <br />BUILQING FEE <br />PLAN REVIEW <br />BUILDING STATE SURC <br />ZONING SLtRCHARGE <br /> <br />QUANTITY <br /> <br />FEES <br /> <br />PAYEE: CARL~///TOW <br />RECEIVE~ BY: MB <br /> <br />~ THIS <br />FOLLgWIflGi <br /> LL NECESSRRY <br /> <br />PLAN REVIEW: BY <br />ZONING: BY <br /> <br />CITY JURISBICTIOh: BY ......... ~ATE <br /> <br />REMARKS: ON-SIGHT WORK FOR MODUAL ¢IOHE /STD <br /> <br />"EIGHT," <br />STORIES~..' <br />PLAN. ACTION: <br />ENEI~G¥'P'ATH: <br /> <br />AMOUNT <br /> $~8.50 <br /> $25.03 <br /> $1.93 <br /> $1.93 <br /> <br />$&7.~9 <br />$0.08 <br />$67.~9 <br /> <br />$0.88 <br /> <br /> 52142 <br />T.YPE: CK CNECK ~: 5580 <br /> <br /> SETBACKS: FR <br /> 1848 LS .......... <br />i RS ...... <br /> <br /> OFFICE COPY <br />FORM # MD 15-56 REV, 4/90 <br /> <br /> <br />