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MARION COUNTY BUILDING INSPECTION <br />SENATOR SLDG, NO, 225 <br />220 HIGH STREET NF <br /> SALEM, QREGON 97301 <br /> <br /> PHONE: §88-5147 8;00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />0¢ a registered builder, <br /> <br />Other. <br /> <br />TYPE: DWELLING PERMIT OR APPLICATION NO: <br /> <br />DWEI,,LII,IG i,q,lIL. 9]'l,l(; FEE' <br />DWEL. LIN[;, I';'l. IJ)4 B I N C- <br />D~ELI.~NE; MECHANICAL <br />Dt,I~ZI..I_ ING ELECTRICAL <br />D~JELt_ZNS STATE' SURCI'IAR&E <br />DWELLING PLAN REVIEW <br /> <br />PAYEE.', John F Rieger <br /> <br /> 9~54391 DP <br /> <br />AI!~ CH T TE CT / ENI; 'i M E F',r'~ ,~ <br /> <br />PHONE: <br /> <br />TOTAl. AS~3ESSED <br />P ~7:EV,:C 0 lis RECEIPTS <br />THIS RE£;EIPT <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $24~.08 <br /> <br /> $22,70 <br /> ti;71. :i, 5 <br /> $2;I, ,, 74 <br /> $:l, 85.00 <br /> <br />$64t ,. 59 <br /> $0.00 <br />$541 ,, 59 <br /> <br />BALANCE DIJE ~0,, 00 <br /> 56866 <br /> <br /> I~EI]EIVED 9Y'; F'N ......................................................... TYPE~ It,I CHECK 4b: 0 <br /> <br /> THIS IS NOT A PER~IT. THIS~APPLICATION MUST ~0 THROUGH A REVIEW PROCESS WHERE THE <br />FSLLOWZNG ~UST BE COMPLETE~, IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br /> <br />· ]Y ,)iii l;,~.,)[. IO,I. T.~Y <br />U i't¢-I }\, ,, FJE:W RE~; <br /> <br />HEIGHT: SL]I..,CK,,~.,ri:': ~.~ <br /> <br />tH'ORIES: 1 RS <br />I:H.,AN. ACTION: FiR" 14 <br />ENEF:GY PATH: 8 Sf:'~ .......... <br /> <br />~ORM # MC 1 ~-~f~ RBV. 4/~ ,~OPY <br /> <br /> <br />