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MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG, NO, 2;25
<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 ~m performing work on a property I own or occupy
<br />I ~m a registered builder OR ~he authorized represen ative
<br /> of a registered builder,
<br />The work wltl be performed by a registered builder,
<br />Other
<br />I have read and agree to the terms stated on the reverse side of
<br />this document,
<br />
<br />iSffU$ ADORE$S;
<br />
<br /> 70B HICHAEL WAY --
<br />, AL 'LW] I.LE 0R
<br />!'u§~ o~
<br />
<br />,,57 Z9 ~.::.0~ r8 RES t I)EN'T I/S,L
<br />CON~¥~UCTION TYPE; OCCUPANCY:
<br />
<br />~X~LF ~I"TV: I 'U~': ~O~N"¢ LOAD'.
<br /> , NO OF BEDROOMS
<br />
<br /> ............ ?
<br /> ~:~AI_,E:H,~ OR ~ SITE NUMBER:
<br /> PHONE: ~9:L,.,.6612 ~ VALUATION~
<br />
<br />iWIBT": ~O~PTH: A~ N'~ ~ 'R~¢~. LOT:
<br />
<br />TYPE: D~,iELLINI; PERMIT OR APPLICATION NO:
<br />
<br />CON'TRAC,?F¢~ IqB. 8649¢.~
<br />DYNAHO (.,OFISTR,, CHARLES LIN~ORFE
<br />~125 GLEN CREEl< RD MW, SUITE
<br />
<br />PHONE: ;~ ?1--.661,~ : ,
<br />
<br /> ]] TEM
<br />DWE[.L,~N6 BUZI,_~[N6 FEE'
<br />DWELLING PLIJHBiNG
<br />I>~JEI, I.,.~ NG HECNANICAI .... 'E',
<br />DWELLING ELECTRICAL :~ ":::
<br />DMEM,,ZN6 S'fAI'S SURCHAREE
<br />
<br /> ::;
<br />
<br /> 60608 DP
<br />ARCHI'f'ECT/EN6 Ii,lEER ~ NO.
<br />
<br />QOANT I TY
<br />
<br />AMOUNT
<br /> $525,, 3~
<br /> $19! ,, 56
<br /> $47.71!
<br /> $I49,, 58
<br /> $45 ,, 7 :L
<br /> $1.$5,, 'Z~ r./,'
<br />
<br />$1 ,, ! 44 ,, $>,2)
<br />$1, ~JO,,Bb
<br />
<br />R :.[,c IVED TYPE: CHECK ~!'. 0
<br />$ THIS IS A VALID PERtt~[1
<br />CONSTRUCTION CEASES FOR A
<br />EBUI~ENENTS OF STA~E
<br />ALE BECOME NULL AND ~x;:
<br />
<br /> TOTAL SQFT: ~26~ LS
<br />
<br /> ENERGY'PATH: t
<br /> !;;LMARKS;I I,ff':H RES
<br /> )OHA~ 0 E,. ;,dOOOL. EY.¢ HARZOH (x billy BUIlD,H6 OFF'.[CIAL / BY
<br />
<br />FROM ITS iSSUE DATE. IF
<br /> FAILS TO MEET ALL
<br />ZONING 0RDIHANCES~ THIS PER~IT
<br />
<br /> OFFICE COPY
<br />FORM cf MC 15.58 REV. 4v9~
<br />
<br />
<br />
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