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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 />I am performing work on a proper;y ~ own or occupy. <br />I am a registered builder OR ~ the authorized representative <br />of a registered builder. <br />The work will be oerformed by a reg~s[ered builder <br />Other _ <br /> nave reao aha agree Io the terms stated on [ne reverse side of <br /> <br />t SITUS ADDRESS: ~ CONSTRUCTION TYPE: ~ OCCUPANCY: <br /> <br /> 62~ 8TH -- , <br />......... ................ .0E__772 ........_ E 0 .......... i <br />USE OF BUILDING: NO. O~ BEDROOMS <br /> <br />MAILING ADDRE~; ~ SUBDIVISION: <br /> <br /> PO ~OX 23~ <br /> <br /> LOT: BLOCK: SECTION TOWNSHIP: ~ RANGE: ZONE: ~ MAP: <br /> <br />TYPE= D#ELLIH~ <br /> <br />COI~TRACTDR. NO. <br /> ZIVNEYS CONST. <br />PO BOX 2J1 <br />TURNER, 97~92 <br />PHONE: 743-2567 <br /> <br /> PERNIT ~ APPLICATZOH <br /> <br />99616 <br />INC. <br /> <br />ITEM <br />DWELLING BUll. DING FEE <br />DWELLING PLUMBING <br />DWELLIN~ MECHANICAL <br />DWELLING ELECTRICAL <br />DWELLING STATE SURCHAI <br />DWELLING PLAN REVIEW <br /> <br />PAYEE: <br />RECEIVED BY: DF <br /> <br />~ THIS IS A VALID <br />CONSTRUCTION CEASES FOR <br /> EGUIREHEHTS OF STATE <br /> ALL BECDNE HULL P, HD <br /> <br />ENERGY PATH: <br /> <br />REMARKS: NEW RES <br /> <br />DONALD E. WOODL. EY, <br /> <br /> 688~8 DP <br />ARCHITECT/ENGINEER, NO. <br /> <br /> QUANTITY AMOUNT <br /> $296,85 <br /> ~ $187.95 <br /> $26.89 <br /> $84.~8 <br /> $25.76 <br /> $185.88 <br /> <br /> $725.95 <br /> $725.95 <br /> $8.88 <br /> <br /> $8.88 <br /> <br /> TYF'E: CHECK ~: 8 <br /> <br /> ITS ISSUE DATE. IF <br /> FAILS TO NEET ALL <br /> ORDINANCES~ THIS PERNIT <br /> <br /> 0 SETBACKS: F~_20 <br /> 1840 ~S 5 <br /> I RS-5 <br /> RR <br />PLAN.ACTION: <br /> <br />MARION COUNTY BOILDIHG OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />