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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 sm a registered builder OR ( ) the authorized representative <br />) Other <br /> <br /> i' <br /> ses 8'rH sT <br />AUM.W,I.I,.LE DR 97325 ~(:,~j~: ~'"~: ..... OGGOPANf LOAD[ <br /> <br /> MEADOWS <br />294~ LATONNE <br />I<EIZE~ 0~ 97,38~ <br />PHONE: ~98.-'7839 ~ VALUAI'~ON: $&4,~Oe'Z. Oe <br /> <br />TYPE~ 9HEI_LIH~ PERHZT OR APPLICATIOH NO: <br /> <br />CONI'RACTOR~ biO. 04930 <br />Joh~ F R:i. eger <br />68~8 Rockl~dqm Ct hie <br />8?,lP_n, 97;~8;.;$ <br /> <br />ITEM <br />DWELLING BUILBING FEE <br />~)WELLIN6 PLUMBING <br />DWELLIN6 MECNANICAI. <br />BWEI.I.ING ELECTRICAL <br />BWELLIN6 STATE SURCHARGE <br />DWELLING Pt. AN ~EVIEW <br /> <br /> 54~9! ~P <br /> <br />ARCHITECT/ENGINEER,1 <br /> <br />PHONE: <br /> <br />TOT~LASSESSEB FEES <br />PREVIOUS:RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE ~UE <br /> <br />NO. <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $249.88 <br /> <br /> $22,,70 <br /> $71.15 <br /> $21.74 <br /> $185.00 <br /> <br />$641.57 <br /> $0.00 <br /> <br /> PAYEE: <br /> AF',CEIVED BY: PB ........................................... TYPE: CHECK :~: 0 <br /> <br />CONSTRUCTION CEASES FOR A PERIOD OF 188 BAYS, OR IF CONSTRUCTION FALLS TO ~EET ALL <br /> ALL BECOHE HULL AND VOID. ' , <br /> H[IGHT: ~ETBACKS: FR 2e <br /> TOTAL ~Q El': 1553 L~ 5 <br /> SEP1 ~C= BY ....................... DATE .................... ~TORIES: 1 RS"-5 <br /> PLAN. ACTION: RR" 14 <br /> ENERGY PATH: 8 SE ..... <br /> REHARKS: NEB RES ~ <br /> ~ONAL~ E. WOODLEY~ MARION COUNTY BUIt. DIHG OFFICIAL / BY ....................................................F~ <br /> <br />~ORM # MC ~5.SS R~V, 4¢~0 OFFICE COPY <br /> <br /> <br />