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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH STREET NE <br /> SALt;M, 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 grogerty I own or occupy, <br />I am a registered builder OR the authorized representative <br /> of a registered builder, <br />The work will be performed by a registered builder, <br />Other <br /> <br />S'TgS A~¢'¢'1'' 6OR:DOM <br /> <br />, FHOME; 749-4272 ~ VALUATION: <br /> <br />, NO OF BEDROOMS: <br /> <br />TYPE= D~ELLIN~ <br /> <br />CONTRACTOR. NO. <br />,SIMERAL~ GORDON <br />SAME <br />7&?..,512S WE <br />PHONE: 7~9,.-4272 <br /> <br />PERMIT OR APPLICATION NO: 55884 BP <br /> ARCHtTECT/EHGINEER~ NO. <br /> <br /> ITEM <br />DNELLIFl6 BUILDING FEE <br />DWELLING PLUMBING <br />DWELLING MECHANICAL. <br />DWELLING ELECTRICAL <br />DWELLING STATE <br />DWELLING PLAN REVIEW :: <br />DWELLING ZONING SURCHAR( <br /> <br />PAYEE: <br />RECEIVEO BY: DM <br /> <br /> * THIS IS A VALID PERN~I <br />CONSTRUCTION CEASES FOR <br />EQU~RENENTS OF <br />ALL BECONE NULL <br /> <br />PHONE: <br /> <br />QUAI,ITI TY <br /> <br />ANOUN'f' <br /> !I;509.73' <br /> $185,,87 <br /> S46.31 <br /> $145,14 <br /> $44,, 35 <br /> <br />BSED :FEEs <br /> <br /> TYPE: CHECK ~." 0 <br /> <br /> FRaN ~TS TSSUE DATE. TF <br /> FAILS TO NEET ALL <br /> <br />STSRIE$: <br />PLA~;AC ION; <br />ENERGY PATH: <br /> <br />$1,].3~..40 <br />$1,1~]..40 <br /> $0~0 <br /> <br />ZSNZNC ORgINANCES, THIS PERMIT <br /> <br /> SETBACKS: FR 20 <br /> LS"iO <br /> RS'"'],O <br /> <br /> SF'. ..... <br /> <br />F~EHARK!:;: i,,IF;~ RE:S/AU'IH HO, ¥IStl',.:,POSSI, BLE BONF'L. ICT BETWEEN DRIVE, N,c.;iL'~.'~..¢~f/I)t XT SE i::"f'I <br />¢ ,~ ,.~Y,.~fLM D,~AIIh I,:.L.D,.). APPROVED TO kEPt_ACg PRIMAkY DWELLING. 'k.,,~_..--'j/ <br /> <br />FORM # MO ~ ¢-¢~ REV, 4/~o OF FICE COPY <br /> <br /> <br />