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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: $88-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am a registered builder OR ( ) the authorized representative <br />of a registered builder, <br />The work will be periormed by a registered builder. <br />Other <br /> <br />I have read and agree to the term8 stated on the reverse side of <br />this document, <br /> <br />OWNER'. TAX LOT; i ~ATEGOCfY: <br /> R J]..~.;EI,: CE Nl F~ACT ]:NF= 900i2--641 ~ESIDE,IT~L <br /> <br /> AUHSVILLE OR 97325 U~SVIEI. E <br /> <br /> ! NO. 0¢ BEOROOMS: <br /> SINGL. E FAMILY I)WEI..LI~;S <br /> <br /> 6808 ROCKI,.E, DE~. 6T N <br /> KE]:ZE:R, 0R 97S~;I ~ITE <br /> <br />TYPE: DWELLING PERHIT OR APPLICATIONNOa <br /> <br />CONTRAI:TOR, NO. 049;:~8 <br />~008 Roc:kl. Edqe Ct NE <br />!~a leM~ ~7~0~ <br />PHONE: 390-2661 <br /> <br /> Il'EM <br />DWELLII46 BUILDING F'EE <br />DWELLING PLIJHB~NG :' <br />DHELLIItG MFCHAN]:CAL <br />~WEL. LING ELECTRICAL ;::: <br />DWELLING STATE SURCHAR[,E <br />DWELLING PLAN REVIEW ;::: <br /> <br /> ~68772 DP <br />ARCHITECT/ENGINEER. NO,, <br /> <br /> PAYEE: John F Rieger <br /> RECEIVED BY: PM <br /> * THIS IS NOT A PERMIT.:~! <br />FOLLOWING HUST BE <br /> LL NECESSARY <br /> <br /> PLAI~ REVIEW: <br /> ZSHING: ~f <br /> <br />QUANTITY AHOUNT <br /> $278,. 03 <br /> ~101 .. :~8 <br /> $25.26 <br /> $79.17 <br /> $24., 19 <br /> $185,00 <br /> <br />$693.03 <br /> ~0.00 <br />$693~03 <br /> <br /> $0.00 <br /> 63405 <br />:cTYPE: 'rll CHECK ~: 0 <br /> <br />r:iTHE APPLICANT TO ASSURE THAT <br /> <br /> SEI'BACKS: FR 20 <br />ET.. ' I728 L.S'"5 <br /> I R,: ,.. <br />PEAN."~CT'f ON: ..... d:, ' <br /> 1 SP] ....... <br /> <br /> ................ ERG, Y ~P~TH. <br />r.:l:TY ,,Jm~:[SD:[c'r~,0~,~,~ [~y ......... <br />RLi'IARKS: NEW RES <br /> <br /> OFFICE COPY <br />FORM # MC 15.56 REV. 4/00 <br /> <br /> <br />