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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />~0 HIGH STREET NE <br /> SALPM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />The work will Se performed by a registered builder. <br />Other_ <br /> <br />I have read and agree to the terms stated on the reverse side of <br />this document, <br /> <br /> I~EI,I ,IA{,O~; bONull,dJl,,r,,.OH e0020S80 : RESISEN'flAL <br /> ~ DELHAR -- , <br /> <br /> ', <br /> 4415 ~OI,IROE ~V <br /> ~UMSVIL,,LE~ OR 97325 SITE NUHBER: <br /> PHONE: ;t62-7880 VALOATIOH: <br /> <br />..................................... ~ ................. '~ ...... . ............... ;...... · ............ ' ._.__ - ........ <br /> <br />3 <br /> <br />TYPE= DWELLING PERMIT OR APPLICATION <br /> <br />[,SNH~ACrOt';:, NO. S&,,-44 <br />Kenneth R <br />4416 Monroe <br />Sm J. em, 973~I-B~De <br />PI"~ONE: 562-7880 <br /> <br /> I'f EH <br />i)WEI,,LING BUILDII,It.; FEE <br />DWLM. ING PLUHBIN6 <br />DWELLING MECWANICAL <br />DWELL INi; ELECTRICAl, <br />D[~ELLING STATE SURCI-IARGE <br />t)WELLING PLAN REVIEW <br /> <br />PAYEE: <br /> <br /> 5487& DP <br />ARCHITECT/ENGINEEI~, NO. <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOWS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />AMSUNT <br /> $2~9.42 <br /> $87.38 <br /> $21.75 <br /> $68.17 <br /> $20.83 <br /> $185.00 <br /> <br />$&22.47 <br />$622,,47 <br /> SS. SS <br /> <br />BALANCE DUE SS. 0S <br /> <br /> RECEIVED BY: PB TYPE: CHECK ~: 0 <br />~ THIS IS A YALID PERHIT, THIS PERMIT EXPIRES 18B DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A .PERIOd, OF 18fl DAYS~ OR IF CONSTRUCTISN FAILS TO MEET ALL <br /> EQUIREHEHTS OF STATE LAWS AN~ HARIOH COUNTY BU~L~IN6 AH9 ZONIH~ ORDIHANCES~ THIS PERMIT <br /> ALL BECOME NULL AN9 VOI~. <br /> HEIGHT: SETBACKS: ErR <br /> TDT~L ~ FT: 14~8 L~--2r~ <br /> STORIE,~. 1 kS <br /> PLAN~ ACTION. RR'"'5 <br /> ENERCY PATH: 1 SP'7. ....... <br /> <br />ENER[,Y PATH: <br /> <br />t'lARIv~,, HI~:W RES <br />DONAJ,.,D Iii,, WOODLI-'_'Y~ <br /> <br />iHAR:rot,! COUNTY BUtLDIN(', OFFICIAL / BY .................... .~_,_ ..................................... <br /> <br />:ORM #MC 15.56 RL~¢. Z,/~O OFFICE COPY <br /> <br /> <br />