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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 property I ewnor OCCupy. <br />I ~m a registered builder OR ( ) the authorlzed representatlve <br /> <br />I have read and agree to the terms stated on the reverse side of <br />this document. <br /> <br /> )WN E'R~ DAIE:,..83 ZIL?.Z~2A ........ ~TJ[~E,,'~_. 7.:,~B,c,3 7,, ................ J ~T~' 'L6~: ...................................... ~b~ .................. <br /> DALRYMPLE, ROSS R ~ 54~22-~151 RE~I~ENTIflL <br /> ~,t0~-i'~b~C .......................................... T~-N ~B~fi?~ .............................. ~R-~ ¥~0 ffg~¥Y~............... <br /> ~46~5 KASEL CT · NE j~.~; ....... ~ ~.~: .................. 6~0~NT LOAD: ..... ~ <br /> .............. .................. .............. ................. ............................................ , <br /> _? ..................... ................................. <br /> ~ K~SEL PH 2 <br /> 14~7~ SW HART <br /> ~ERVERTQN OR ~7~5 ~TE N~HBER: ~4-~112 <br /> PHONE: ~44--5837 VALUATION: $i27,647. ~ <br />~WlDTH: IOEPTH; / AREA; ~UNIYS: [IRREG, ~OT: ~ CO E : <br />l [~e J, 16~ [ L SF ~ YES _]_. NO ~ <br /> <br />TYPE: D~EJ~LZHG PERHIT OR AFT'LICATIOH <br /> <br />CONTRACTOR, NO. <br />DALRYHPL£, ROSS R <br />14076 SW HART <br />BEAVERTON OR 97005 <br />PHONE: 644-5837 <br /> <br /> ITEM <br />DWELLING PLUMBING <br />DWELLING ELECTRICAL ~ <br />DWELLING STATE SURCHARGE <br /> <br />PAYEE: DALRYMPLE, ROSS <br />RECEIVED DY: gL .'< <br /> <br />COHSTRUCTIOH CE~SE8 <br /> EGUIREHEMTS OF <br /> ALL ~COHE HULL <br /> <br /> 5~117 DP <br />ARCHITECT/ENGIHEER~ NO. <br /> <br />PHONE: <br /> <br />TS <br /> <br /> QUANTITY AMOUNT <br /> $16§.98 <br /> $129.61 <br /> $14,78 <br /> <br /> $~18.~7 <br /> $~53.79 <br /> -$4~.42 <br /> <br /> $8.00 <br /> 55679 <br /> TYPE. IN CHECK ~. 0 <br /> <br /> ITS ISSUE DATE. IF <br /> FAILS TO MEET ALL <br /> ORDINANCES, THIS PERNIT <br /> <br /> SETBACKS: FR <br />FT: 2829 LS ...... <br /> 2 RS <br /> RR <br /> sP2'£22 <br /> <br />REMARKS: ELEC.~ PLBG. ONLY <br />DONALD E. WOODLEY, MA,.~ ~ <br /> <br />~O~M # MC ~.~.ev,,~o OFFICE COPY <br /> <br /> <br />