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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> The work will be perlormed by a registered builder. <br /> Other , , <br /> <br /> DA;I E: 04/14/92 <br /> <br /> BETHEL, DARRELL <br />SITUS <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />: TAX LGT: ......... <br /> <br /> ; 6CcuPANCY: <br /> CONSTRUCTION TYPE'. <br /> <br /> RESIOEN~!~t <br />R-3 <br /> <br /> 9550 BA'f'EB ROAD SE ~ONI'RSCT C~TY: IUGLY: ;OCCUPANT LOAD: <br /> <br /> AUM~$ViLLP. OR 9?325 ¢4ARJ, ON COUNI'Y'~ NO ' No o¢ ~ED~00MS: <br />:uSA oF 6UIFDiN~i <br /> <br /> ~iNGLE FAMILY' ONEI_L_tN~ sU~bi~SiS~: <br />,MAILING ~D~ESS: $ <br /> <br /> PO BOX 623 <br /> 5'['AY'f'ON 9?389 <br />, PHONE: ?69-28?4 SiTE NUMBER: 92~01502 <br />' VALUATI~: $55. <br />~L~T: : BLOCK; ;~BTION: TOWNSHIP: i RANGE: : ZONE: <br /> 1 . 5 AC ' NO; YES <br /> <br />48 <br /> <br />TYPE: DINELLi NG <br /> <br />CONTRACTOR, NO. <br />BETHEL, DARRELL <br />PO BOX 623 <br />STAY'f'ON 97389 <br />PHONE: 769~2874 <br /> <br />PER~i'I' OR APPLiCATiON NO: 903938? OP <br /> <br /> ARCHITEC'f'/ENG~NEER, NO. <br /> <br />PHONE: <br /> <br />'f'OTAL AS,~ESSED FEES <br />PREVIOUS RECEIPTS <br />'f'H~B RECEIPT <br /> <br /> ITEM <br />DWELLING BUiLDiNG FEE <br />[)WELLING PLUMBING <br />()WELLING MECHANICAL <br />DWELLING ELECTRICAL <br />DWELLING STATE ~¢JRCHAfg~3'E <br />DWELLING PLAN REVIEW <br />DNELLiN~ ZONING ~ARGE <br /> <br />QUANf'iTY <br /> <br />AMOUN'] <br /> <br /> $127_90 <br /> <br /> $99.8? <br /> $30_52 <br /> $~S5_00 <br /> $15.00 <br /> <br />REMARKS: NE~'"'RES ........... <br />HEiGH']': 17 TOTAL SQ FT: 2180 S~'ORiES: ~ PLAN.ACTiON~ <br /> OFFICE <br /> <br />$840.91 <br />$o.oo <br />$84o.9~ <br /> <br /> C~ALANCE DUE $O- <br /> PA,.Y, EE.~ BETHEL, ~ARRELL ~,,J_~/ 41435 <br /> RECEIVED BY: DM2 ............................ ~ ........................'fYP~: OK CH~CK ~; ~036 <br /> <br />* TH~S IS NOT A P~R~Jl'. THIS APPLiCATiON ~S']' GO THOUGH A REVIEW PROCESS ~ERg <br />FOLL~iNG ~s'[' B~ C~PL~TED. iT IS THE RES~NSiBILITY OF THE APPLIC~F TO ~RE THA'~ <br />ALL NgC~55ARY iNFO~N HAS ~EEN PROVIDED+ <br /> <br /> <br />