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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 a registered builder. <br /> <br />Other <br /> <br />,' F'AITH, DONNA ~ 9~13-~51 <br />[ AUHSVILLE 0R 97~25 iAUMSVI[-LE j NO <br /> <br /> ~ AUMSVILLE HEADOW~ <br /> 24~ LATONA CT <br /> KEIZER~ OR ~7383 SiTE NUMBER: <br /> PHONE: ~98..',78~ VALUATION: <br /> <br />TYPE= DWELLING PERMIT OR APPLICATION NO= ?~53191 DP <br /> <br />CONTRACTOR~ biO, <br />Design Bum. id Construction <br />PO Box <br />Silver,on: 97381-0000 <br />PHONE: 87~-6393 ' <br /> <br />ARCHITECT/ENG]iNEER, <br />PHONE: <br /> <br />bio. <br /> <br /> ITEM <br />DWELLING BUILDING FE'E <br />DWELLING PLUMBING <br />QWELLZNG HECHANICAL <br />~WELI. ING ELECTRICAL <br />DWELLIN6 STATE SURCblARGE <br />DWELLING PLAN REVIEW <br /> <br />QIJANTITY <br /> <br />AMOLINT <br /> $272.56 <br /> $99.39 <br /> $24.76 <br /> $77.&1 <br /> $23.72 <br /> $185.00 <br /> <br />TOTAL:-ASSESSE~ FEES <br />PRE~IOUS 'RECEIPTS: <br />THIS RECEIPT <br /> <br />$683,04 <br /> $0.00 <br /> <br /> BALANCEDUE;': $0.00 <br /> PAYEE: Design Build Construction <br /> RECEIVED BY: PM........................................ TYPE: IN CHECK :~: 0 <br /> <br />FOLLOWING MUST BE COMPLETED. ITIB THE RESPI~4SZBILITY OF THE APPLICANT TO ASSURE THAT <br />LL NECESSAEY ~NFORHATION HAS I~,EEN PROV~DEIII. , <br /> <br />ZOI4IN6: BY ~ ............ :DATE <br /> <br />CITY JLIRISPlCI'IOH: BY ........ BATE ............. <br />~EHARKS: HEW RES <br /> <br />HEIGHt: 8ETDACK$: FR 20 <br />TOTAL SO FT: 1694 <br />STORIES~ I R8"5 <br />PLAN. ACTION: RR-20 <br />ENERGY PATH: 1 SP~ ............ <br /> <br />¢~, ~ ~s.t~ ~e~.,~/~ OF FICE COPY <br /> <br /> <br />