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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 am a registered builder (DR ( ) the authorized representative <br />of a registered builder, <br />%be work will be performed by a reDistered buitder. <br />Other <br /> <br />; OWNER; <br /> GRAVES, LARRY 7473B-~2 RES~ENT:[~L <br /> <br /> SITUS ADDRESS: ' CONSTRUCTION TYPE: <br /> <br /> :.. ~N <br /> 795~ STONEF'IEI_D CT SE CONTRACT CITY: , UGB: ',OCCUPANT LOAD; <br /> , <br /> htJMSVILI,,.E OR 77325 MARISN [,OUNTY <br /> <br /> SITE flUH~ER: <br /> F'HOME: 585--2181 VALUATION: $:1.2~ <br /> <br />LOT: <br /> ;BLOCK: <br /> SECTION; ; TOWNSHIP; , RANGE: <br /> <br />TYPE: DWELLING PERMIT OR APPLICAT][ON NO: <br /> <br />CONTRACTOR, FI0. 5235.4 <br />Randall. Lee Fultz <br />10047 Stayton Rd SE <br />~u~,tsvJ,],].e, 97~25-,,0000 <br />PI4ONE: 769,-5386 <br /> <br /> ITEH <br />DWELl.lNG BLJIt. DING FEE <br />DWELLING PLUMBING <br />DWELLIN[; MEP. HANICAL <br />BWELL~MG E/.ECTRICAL <br />DWELLIN6 STATE SURCHARGE <br />BWELLING PLAN REVIEW <br />'I'IJRI,IP]:KE D/W - BL. BG INSPECTION <br />TUMqF,'rI<E D/W - POBLIC WORKS <br />DWELLING ZONIN6 SURCHARGE <br /> <br />ARCHITECT/EN61:NEF"Rt <br /> <br />NO, <br /> <br />PHONE: <br /> <br />QUANTITY AMOUNT <br /> $455.~5 <br /> $165,,15 <br /> <br /> $12%,75 <br /> <br /> $185.00 <br /> $~,.00 <br /> $i6.00 <br /> $t5,,0~ <br /> <br />TOTAL ~SSESSEB FEES <br />PREVIOUS RECEIPTS <br />TM:iS RECEIPT <br /> <br />$1~049,60 <br /> $0.00 <br /> <br />BALANCE DUE <br /> <br /> PAYEE: RANDY FULTZ <br /> RECEIVED BY: cl TYF'E." CK <br /> <br />~ THIS IS NOT A PERMIT. <br />FOLLO~INr_. MUST BE COMPLETE]). <br />LL NECESSARY INFSRHATiON HAS ]BEEN PROVIDE]). <br />PLAN R[:V~EW= ~Yk-"J~q~'',~2 DA'fi'_." _IL-'J_."~,,'~H FIEIGNT: SETBACKSe <br /> ZOt,!IN6. BY .~'~-.~(._-'% ....... DATE-.~.;~-.;~-; ...... TOTAL SQFT: 2832 <br /> <br /> PLAN. ACTION: <br /> ENERGY F'ATN.- <br /> ~ITY .J.U. RISD:[~f,i. OJ2:) ~Y DATE <br /> REMARKS: D;:'/DW/S8 .............. , .................' <br /> <br /> $0.00 <br />CHECK ~: 3414 <br /> <br /> MUST GO THROUGH A REVIEW PROCESS WHERE THE <br />IT,ISTNE RESPONSIBiLiTY OF THE APPLICANT TO A~SURE THAT <br /> <br />FORM # MC 15.66 REV. 4/90 OFFICE COPY <br /> <br /> <br />