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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 B:O0 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />of ~ registered builder, <br /> <br />; OWNER:~DAT~r-: 02110194 T~ME:" 8:~6~ 42 ...... ;' fXX 'g5¥i .................. I a~f~a~i <br />~ F'AITH.~ ~ONNA ~1~-~61 i RESI~ENTIfl_ <br />~ ~'~u~ ~OD~SS: ~ . <br /> <br /> S~qG E F H LY g~L ~N'S <br />~MAJLING ADDRESS: J SUBDIVISION'. <br />J ',---.-~V~L~. ~gOUS <br />~ 2157 BROADVIEW CT NW , <br /> ~E&~, OR 97~04 ~ SITE ~BER: ~;-B8~lS <br />~ FHUNb: 581-87~ ~ VALUATION: $~7~598.8~ <br /> <br />!Wl~: ?E~H: i A~; ~ UNI~] j I~G, LOT; ~CO~R: ' '~ <br />J 80 ~4 752~. ~ ~ N0 [ ND ¢ <br /> <br />TYPE: DWELLING PERHIT OR APPLICATIOH NO: ~5284~ DP <br /> <br />CONTRACTOR, NO. 47711 <br /> G=A Hadley Builder Inc <br />21.~7 Broadvieu Ct NW <br />Salem, 97304-0000 <br />PHONE: 581-87~6 <br /> <br />ARCHITECT/ENGINEER, NO. <br />PHONE: <br /> <br /> ITEM <br />DWELt. lNG BUILDING FEE <br />DWELL, lNG PLUMBING <br />DWELLING MECHANICAL <br />DWELLING ELECTBICAL <br />DWELL. lNG STATE SURCHARGE <br />DWELLING PLAN REVIEW <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $265.48 <br /> $96.81 <br /> $24.12 <br /> $75.59 <br /> $23,10 <br /> $185.80 <br /> <br />TOTAL ASSESSED:FEES <br />'PREVIOUS'RECEIPTS <br />THIS BECEl'PT <br /> <br />$670.10 <br /> $B. 00 <br />$670.10 <br /> <br /> BALANCE DOE $0.00 <br /> PAYEE: G A Hadley Builder Inc 552?8 <br /> RECEIVED BY: PM TYPE: IN CHECK ~: 0 <br />$ THIS IS NOT A PERHIT. THIS APPLICATIONHUST,'§O THROUGH A REVIE~ PROCESS WHERE THE <br />FOLLOW~HG HUST ~E COHPLETED. iT, IS.THE RESPOHSJDILITY OF THE APPLICANT TO ASSBRE THAT <br /> LL NECESSARY IHFORHATIOH HAS BEEH PROVIB~EB. <br /> <br />PLAN REVIEW: BY__~_ DATE__~.~.._~ <br />ZONING: BY DATE <br /> <br />CITY JURISDICTION: BY DATE <br />REMARKS: NEW RES ................... <br /> <br />HEIGHT: 0 SETBACKS: FR 20 <br />TOTAL SQFT: 1650 LS'-'5 <br />STORIES: 1 RS-5 <br />PLAN. ACTION: kB' -~. <br />ENERGY PATH: SP- <br /> <br />~ORM # MC 15-5~ IR E'¢. 4/90 OFFICE COPY <br /> <br /> <br />