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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 9'7301 <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 e reglstered builder· <br />Other <br /> <br />~ 649 8~H ST ~ ~ ' <br />:USE OF BUILDING'. 'NO. OF BEDROOMS <br /> <br /> P0 BOX 2:,Zt .... '~S~Tt'_'EE-NE~07~TS ..... <br /> FUNNI.R,~ OR 7739._ SITE NUMBER. ~-~ <br /> }'H(.]NIr.,. 743'"'.,].)67 VALUATION= ~7~ 572.8(~ <br /> <br />......... ~ 7~ ......................... J'~;~---J ..... ~4~:r"% .... l~ ....................~:~ ............ <br /> <br />TYPE: })WELLIH~. <br /> <br />CONFRACT, OR,, NO,, 99616 <br /> Z:[VNEYS C0NS1 ,, <br />PO 80X <br />l URNER., 975/~ <br /> <br /> I <br />.DWELLING ~UIL. DiNG FEE <br />DWELI..IN6 PLUHBING ~::: <br />BWELI..IN~ NECH~HIC~L <br />~WELI..ING ELECTRICAL ::. <br />DWELLING 81'ATE SURCHARGE <br />DWELLING PI..AIq REVIEW .: <br /> <br />PERI'lIT OR ~PPLICATION NO= ¢2116~874 :lOP <br /> <br /> ~RCHITECT/ENGINEEFL, <br /> <br />.:. PHONE: <br /> <br /> PAYE~;: ZIVNEYS <br /> RI.CEIVI.D ~IY: PN ' <br /> <br /> ~ THZS ~8 NOT & <br />FOLLO~I~6 ~UST BE <br /> EL NECESSARY IHFO~MATION~: <br /> <br /> PLAN REV:[EW~ ~Y <br /> <br /> :, :.LAN,,A:CTI ON. <br /> C:[1Y JUR SDIC'IION <br /> ~ ,,, h {~., NEW RL, <br /> <br />N 0. <br /> <br /> QIJAMTITY AMOiJN1- <br /> $316.06 <br /> ¢:1 I5.2'S <br /> $28,. 7 :L <br /> $89,. 98 <br /> $27.5~ <br /> $185,, ~ <br /> <br /> ~762.42 <br /> $762.42 <br /> <br />,(TYPE: IN CHECK ~: 8 <br /> REVIEW PRO~ES~ WHERE THE <br /> APPLICANT TQ ASSURE THAT <br /> <br />STORIES: 1 <br /> <br />1964 <br /> <br />R R '"' 5 <br /> <br /> OFFICE COPY <br />FORM # MC 1 $-$~ REV, 4,90 <br /> <br /> <br />