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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 />lamAregisteredbullderOR( ) the authorized representative <br />of a registered builder, <br />The work will be pedormed by a registered builder, <br />Other <br /> <br /> 5~5 OLNEY ST -- ~ I ,: <br /> <br /> PARTITION PLAT <br />P 0 BOX 1253~ ~ <br />SALEH~ O~ ~'7~9 ~ SITE HUflBER: 9~-~2721 <br />PHONE: 588-2J7~ ~ VALUATION: $8~ <br /> <br />TYPE= DWELLING PERMZT OR APPLICATION NO: <br /> <br />CONTRACTOR~ ?~ 43595 <br />~aiph [. Sutter <br />FO Box 125~ <br />8~len~ 97399-9009 <br />PHONE: 588,-2~7~ <br /> <br />ITEH <br />DWELLING BUlL. DING FEE <br />DWELLING PLUMBING <br />DWELLING MECHANICAL <br />DWELLIHG ELECTRICAL <br />DWELLING STATE SURCHARGE <br />DWELLING PLAN REVIEW <br /> <br />PAYEE: Ralph I,. Sutter <br />RECEIVED BY: CL <br /> <br /> 9~48989 ~P <br />ARCHITECT/ENGINEER~ NO,, <br /> <br />PHONE: <br /> <br /> QUANTITY <br /> <br />TOTA~ ASSESSED FEE~ <br />PREVI'OUS"EECEIPT$ <br />THIS RECEIPT'' <br /> <br />BALANCE DUE <br /> <br /> AHOUNT <br /> $296.95 <br /> $107.95 <br /> $26.89 <br /> <br /> $25.76 <br /> $185.90 <br /> <br /> $725.75 <br /> $0.00 <br /> $725.95 <br /> <br />5131~0"09 <br /> <br /> .................... =====================================. .. TYPE: IN CHECK ~: 0 <br /> * THIS [S HOT A PERHIT. THiS APPLICATION HUST 0 H R V E P C <br />FOLLSW,HG HUST 8£ CD,PLETE~. IT [~TNE RESPOHS~Lt~ ~ T~E ~P~L~CA~ ~ A~[ ~T <br /> LL NECESSARY IHFORNATION HAS BEEH PROVIDE~. ' <br /> <br /> ZONING: BY · --DATE ................. tOTALooQ F"T: 1849 L,S ............... <br /> , PLAN. ACT[ON: RE ....... <br /> ENERGY PATN: 1 SF']]]] <br /> CITY JURISDICTION: BY ............ DATE <br /> REMARKS: DP <br /> <br />FORM # M~ 15-5~ n ~"/. ~ OFFICE COPY <br /> <br /> <br />