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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 /> <br />Other <br /> <br />I have read and agree to the terms ~tated on the rever~e side of <br />mis document. <br /> <br />SIGNATURE 0¢ APPLIOANT: <br /> <br />i ~UHSVI)]..~: ' OR 97~25 ~U~SVILLE <br /> <br /> ~E]:ZER., 0R '~7:~e3 / SITE NUM~ER: <br /> F HONE~;~ 39~'--7839 I VALUATION= $66~ 847,, ~e <br /> <br />TYPE.' DWELLING PERMIT OR APPLIC.~TIOHNiEI: <br /> <br />CONI'I~ACIOR~ NO,, 00315 A~.CHTTECT/ENGINEER~ NO,, <br />D6F II,iVESI'H .F,N TS <br />1304 SW flERI'HN BI.VD <br /> <br />F F]ON~:: 246"'889o PHONE: <br /> <br />DWELLTN£; BIJILDING FEE <br />DWEL, I. II,IG PLUMBING <br /> <br />DWEL. LZNG ELEC'TRIC~L ,: :, ]::] : <br />DWELLING SLATE, BURCH~I: <br />DWELLING PI_.6N REVIEW <br /> <br />~UANTI'f'Y <br /> <br /> P~YEE~ <br /> <br />CONSTRUCTION CEASES F~R <br /> EQuiRF.~ENTS 8r STATE <br /> ~LL ~E~OHE NULL <br /> <br />R/:.:' N A R K S i: <br />f; I)l,l,'~!..I) <br /> <br /> ...... ~,~r-~.,.r, ,.. ~ <br /> <br /> ,STORIE:S: 1. <br /> I LAN.ACTION. <br /> :': EFERGY F'gTH~ I <br /> <br /> RES .... AUf4SVit~I.,E ~E~DDWS~ <br />(40tH)I.,I~JY,¢ MARION COUNTY BUll. DING OFFICIAL / BY <br /> <br /> :~; TYPE: CHECK ~:: 0 <br />F~OM ITS ISSUE DATE. IF <br /> FAILS TO MEET ALL <br />ZONIN~ ORDINANCES, <br /> <br />AHOUNT <br /> $254.54 <br /> $92.82 <br /> $23.12 <br /> $72.48 <br /> $22,,:[~ <br /> $J, 85.00 <br /> <br />$650.1i <br />$650.11 <br /> $0.0¢ <br /> <br />THIS PERMIT' <br /> <br /> SET~ACKS:: I:"'F~: 20 <br />1582 LS"25 <br /> RS"'5 <br /> RR'"'20 <br /> <br />OFFICE COPY <br /> <br /> <br />