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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 />Other <br /> <br />DET~O~T OR 97~42 DETROIT NO <br /> <br />81 NG LE. E~L%... ~W.ELLZNG.S <br /> <br />4121e K~NSTOH LANE <br />STAYTON. OR 9738~ [ SITE NUHgER~ 93-a2466 <br />r.FHONE: 769-648~ <br /> <br />TYPE= DUILDIHG PERHIT OR ¢¢PLICATIUR HOt <br /> <br />CONTRACTOR. <br />DOCHSLER, RALPH <br />41210 KINSTON LANE <br />CTAYTON~ OR 97~8~ <br />PHOHE: 769-6483 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />BUILDING STATE SURCHARGE <br />--.. _ -:-~! .... - <br /> <br /> 9~4~498 <br />ARCHITECT/EHGINEER~ NO. <br /> <br />PHONE: <br /> <br />TOTal A,S~ESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT, <br /> <br />BALANOE DUE <br /> <br />QUANTITY <br /> <br />AHOUNT <br />$122.50 <br />$79.63 <br /> <br /> $0.0~ <br /> $0.00 <br /> <br /> PAYEE: BOCHSLER, RALPH ~0812 <br /> RECE[VED ~Y= CL .................................. TYPE~ ZN CNEGK ~= e <br /> <br />~ THIS IS NOT A PERMIT., THZS,APPL:ICATiOH MUST [~'THROUGH A REVIE~ PROCESS NHERE THE <br />FOLLOWING MUST BE COMPLETED. ITIS: THE RESPONSi~/LITYOF THE APPLICANT TO ASSURE THAT <br /> LL NECESSARY INFOi~iATIOH HAS ~EEH PRODDED. <br /> <br />ZONlqG: DY,-,.~Z~Z~Z- DATE~--- TOTAL S~ FT~ 834 LS-5 <br />~EPTZC: BY~ --'DATEZ¢~]]-- STORIES~ 2 RS-5 <br /> ~-, ........... T-'r ...... PLAN,ACTIOH: R~-15 <br />CITY JURI~ICTION: BY .... DATE__ _ ENERGY 8AT~: 1 SF] <br /> / <br />REMARKS:/RES/ADD /AUTH PF:NO -- /, / / <br /> <br /> <br />