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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 />of ~ registered builder, <br /> <br /> this document. <br /> <br /> DATE: <br />: OWNER: <br /> ~AG~N, RICHARO <br /> <br /> TIHE: 11:37:21 <br /> <br /> CG~r~UcTiO~ TOPE: . OCCUPanCY: <br /> 759~ BISHOP RD SE <br /> <br /> SINGLE F~HILY D~ELLINBS <br />MAtLtNG ADDRESS~ SUBDIVISION: <br /> <br /> PHONE: 749-2841 VALUATION: $70~000.o0 <br /> <br />TYPE: BUILDING PERH[T OR ~PPLICAT[ON fie: 904~488 <br /> <br />CONTRACTOR, N0. ARCHITECT/ENGINEER, N0. <br />FABAN. RICHARD <br /> <br />PHONE: 749-2841 PHONE: <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />BUILDING STATE SURCHARGE <br />ZONING SURCHARGE <br /> <br />QUANTITY <br /> <br />TOTAl. ASSESSEO FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />AMOUNT <br /> $~45.00 <br /> $222.95 <br /> $17_15 <br /> <br />$600.25 <br /> $0_00 <br />$600.25 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: FAGAN, RICHARD <br />REOEIVEO BY: OL <br /> <br /> 45579 <br />TYPE: CK CHECK ~: 1729 <br /> <br /> THIS IS NOT A PERNIT. THiS APPLICATION ~UST GO THROUGH A REVIEW PROCESS WHERE THE <br />FOLLO,IN, MUST BE COHPLETEO. IT I$ THE RESPONSIBILITY OF THE APPL,CAHT ,0 A,$URE THAT <br />LL NECESSARY I NFORM~.~,~ HA~ BE~ PROVIDED. <br /> N~~v ~ TOTAL SQFT: 2078 <br /> PL~N.~CT~ON: RR'~24 <br /> OlTY 3URISDZDTION: BY ........ DATE ......... ENERGY PATH: SP ......... <br /> <br /> ~EMARKS: ~ESUBHIT FOR REBUILO ON EXISTING FOUNDATION - EXISTING 8URNTDOWN <br /> <br /> OFFICE COPY <br />~ORM # MC 15.58 REV. 4/90 <br /> <br /> <br />