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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 <br /> CODE-A-PHONE 4:30 P.M, - 8:00 A.M. <br /> <br />I am a registered bUHd~r OR ( the autharized rel3reBentative SIGNATURE ~)F AOPt.~CAN <br />of a registered builder, ' <br /> <br /> Other ,, <br /> <br />DATE: 0B/07/8,7 TIME: <br /> DU VALL, VE~4 <br /> <br />SITUS <br /> <br />8107 SILVER FALL,S, HHY <br /> <br /> RESIDENTIAL <br /> <br /> I CONSTRUCTION TYPE: OCCUPANCY: <br /> R3 <br />SE <br /> <br />AUMSV ILL E <br /> <br />SANE <br /> <br />PHONE: 382=5606 <br /> <br />TYPE= BU ILDI'NG <br /> <br />SINGLE FA~I LY DWELLING~ .................... <br /> <br /> SITE NUNBER: 2130 <br /> ~..~7/- .~/--~ ~" ~ i VALUATION: <br /> <br /> 14 : 8S ,, 2H ~ EFU 49 <br />~IT ~ AP~I~TI~ NO: 9003648 <br /> <br />CONTP~CTOR, NO. 48205 <br />CULVER CUSTON CARPENTRY <br />812 CONNECTICUT SE <br />~ALE~4 o OR <br />PHONE~ <br /> <br /> ITB <br />BUILDING FEE <br />PLAN REV I E~ <br />FLEET SURCHARGE -ZONE 3 <br />BUILDING ~TATE ECJRCHARGE <br />ZONIN6 SURCHARGE <br /> <br />ARCHITECT/ENGINEER, NO. <br /> <br />: PRE~/rCUS RECEIPTS <br />. <br /> <br />' I~A~CE DUE <br /> <br />QUANTITY AI~3iJNT <br /> $50.50 <br /> <br /> ~3.84 <br /> 2.53 <br /> $2,53 <br /> <br /> $0.00 <br />$92.23 <br /> <br />$0.00 <br /> <br />PAYEE= VERN 0UVALL ~ . ~ ' .~: J 4197 <br />RECEIVED BY: JB .... ...,¢ .,..,: ~PE. CK ?CHECK #~ 9223 <br /> <br />~ THIS IS NOT A PERMIT. THIS APPLIOATION:i.~T:!:.::~,:,(~i2Ef, A REVIEW P~E~ ~ERE THE <br />~LL~ING ~ST BE ~PE~ED. [T IS ~E' TO ~RE ~AT <br />ALL NEC~RY [NFO~TI~ H~ BEEN <br /> <br />P~ R~I~: 8Y ~ DA . <br /> CITY~JURISDICT[~; BY ...... DATE <br />SEPTIC: BY DATE :: ..._ . <br /> <br />REf4ARKS: ADD TO FAMILY ROOM <br />HEIGHT: TOTAL SQ P'T: 152 STORIES: <br /> <br />OFFICE COPY <br /> <br />1 PLAN.ACTION: <br /> <br /> <br />