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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 />lameregisteredbullderOR( ) the authorized representative <br />of A registered builder, <br /> <br />Other <br /> <br />I have read and agree to the term8 stated on the reverse side of <br />this documenh <br /> <br /> us~ OF eO~[bi'~; : NO OF BEDROOMS: <br /> <br /> 249~ I,,,ATONE CT HE ~ <br />: KE~ZER~ 0R ~7'363 J ~TE HUH~ER~ ~4-~4~7~ <br />' PHONE~ 58B--~3;~? l VALUATION~ $88,~8.B~ <br /> <br />TYPE= DWELLIH§ <br /> <br />PERNIT OR APPLICATION HS~ ~682&7 DP <br /> <br /> ~.RCHITECT/ENG:[NEER~ NO. <br /> <br /> I'rEM <br />DWEI_LIN(; BUlL. DING FEE <br />DWELLING PLUMBING <br />DWELL'(N6 HECHANICAt_ <br />DI~ELLING ELF. CTR:rCAL <br />DWELL.]'.NG STATE SIJRCHARE-E <br />DWELLING PLAN REVIEW <br /> <br />PAYEE: DGF INVESTMENTS <br />RE, CE]WED DY; P~I <br /> <br />PHONIE= <br /> <br /> "ES <br /> <br />, <br /> <br />QUANTITY AMOIJNT <br /> $248.75 <br /> $~0,,70 <br /> $22.60 <br /> $70.83 <br /> $21,,64 <br /> $18%00 <br /> <br />~ THiS IS NOT A PERNIT; <br />FOLLOWING NUST BE COHPLE1 <br />LL NECESSARY :i'IF :' <br /> <br /> ZON]:NG; BY ' ' ~TO~AL SQ F'T: .... ~6 <br /> <br /> RE:HARKS: NEW RES <br /> <br /> $639.52 <br /> $654.52 <br /> -$15.00 <br /> <br /> 'TYPE= IN CNECK ~ <br /> :~ REVIE~ PROCESS WHERE THE <br />THE APPLICANT TO ASSURF. THAT <br /> <br />FR 20 <br />LS""5 <br />RS"'5 <br />RR"i 1 <br />SP <br /> <br />OFF[CE COPY <br /> <br /> <br />