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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 />of a registered builder. <br />The work will be performed by 8 registered builder, <br />Other <br /> <br />I have read and agree to the terms stated on the reverse side of <br />this document, <br /> <br />'owNER: TAX LOT: I CATEGORY: <br /> ,UIi'E_I:~,¢ RALPH : r RESIDENT]:A[,, <br /> <br /> 55,50[,,NEY ST CONTRACT CITY'. i tJ¢~:~ OCCUPANT LOAD'. <br /> ASHSViLI-E OR ¢~'7325 AUMSV II,,,LE NO ! <br /> <br /> P Iii BOX t25:~3 <br /> SALEM~ t]R 97309 SITE NUMBER: 93~-82721 <br /> PHONE: 588-237~ VALUAT];ON: $807000,.08 <br /> <br />, 72 , 1501 10880. .SF NO · j NO <br /> <br />TYPE: 9WELLING PERNIT OR APPLICATION NO: <br /> <br />?I,I'¥'RACTOR. NO. 4~505 <br />Ralph I,. S~tter <br />PO Box <br />Sale% 97389-0000 <br />PHONE: 588.-2~7~ <br /> <br /> ]:'FEN <br />DWELLING ICUILDII,IG FEE <br />DWELLING PLUMBING <br />DWEI. LING MECHANICAL <br />DWELLING ELECTRICAL <br />DWELLING STATE ~URGHARGE <br />DWELLING PLAN F;EVZEW <br /> <br />PAYEE: <br /> <br /> 48988 DP <br />ARCI4ITECT/ENGiNEEI% NO. <br /> <br />PHONE: <br /> <br />~TAL ASSEOSEB FEES <br />.PREV,IOUS ~ECEIPTS <br />l'HI9 RECEIPT <br /> <br />BALANCE DUE <br /> <br />QUANTITY <br /> <br />AHOUNT <br /> $296.05 <br /> $107.95 <br /> $26.89 <br /> $84.30 <br /> $25.76 <br /> $185.00 <br /> <br />$725.95 <br />$725.95 <br /> $0.00 <br /> <br />$0.00 <br />0 <br /> <br /> RECEIVE~ BY: PB TYPE: CHECK 8: 0 <br /> <br />CONSTRUCTION CEASES FOR, A PERIOB OF 188 BAYS~ OR IF CONSTRUCTION FALLS TO HEET ALL <br />EQUIRENENTS OF STATE LA~S AND flARION COUNTY BUILDING AND ZONING OR~INANCES~ TH~S PERMIT <br />ALL BECOME NULL AND VOIB. <br /> HEIGHT:' 0 SET~ACKS: FR 20 <br /> TOTAL $~ FT: 1840 L,S""5 <br /> STO~IES: 1 RS'~5 <br /> PLAN,.ACTION: <br /> ENERGY PATH: 1 ~1:'~i .......... <br /> <br />RENARKS: MEW lES <br />D~OMALD E,, WOODL, EY~ NARION COt]NTY BLiIt,.DII,IG OFFICIAL / ICY <br /> <br />FORM ~ MC 15-56 REV, 4/90 OF FICE COPY <br /> <br /> <br />