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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:$0 <br />HOUR CODE-A-PHONE: 588-7904 <br /> <br />l am a registered builder OR ( ) the authorized representative <br />of a registered builder, <br /> <br /> 1~-¢ .... ~0 dATBGORY: <br />: OWN~A: DAI'E~ tl/2~/q4 T.THE: <br /> <br />. ~78~r?e~ ~ RESI~Eq'f'I~- <br /> <br /> 776e ~STH 2:. SE ~ CONTRACT CITY, i : ~PANT LOAD: <br /> AU~SVIt..t,E OR 97~ei ~ARION COUNTY NO <br /> <br /> SINGLE FAMII.,~ ~,W~.~.~.,.Z~!.G_B _z <br /> <br /> 7788 75'rN FL SE <br /> S~I..EH.¢ OREGON ~7~ ~ 8lYE NU~E~= ~4-~4177 <br /> PHONE~ 74~-3el1 J V~LOATION~ <br /> <br />;iWIDTH; ~ OECTH: i AR~ UN ~:~ ~G, LOT <br /> <br />TYPE: DWELLIH& PERHTT OR APPLICATION <br /> <br />CON'I'RACTOR~ NO. <br />YOUNG, IRWIN <br />7788 75TH Pl. SE <br />SAI. EH~ OREGON 973~1 <br />PHONE: 749-~011 <br /> <br /> ITEM <br />DWELLING BUILDING FEE <br />DWELLING PLUMBING <br />DWELLING MECHANICAL <br />DWELLING ELECTRICAL <br />DWELLING STATE SURCHARGE <br />DWELLING PLAN REVIEW <br />DWEI.L1N6 ZONING SURCNARGE <br /> <br /> ~225 DP <br /> <br />ARCHITECT/ENGZNEER, <br /> <br />PHONE: <br /> <br />?TAL ASSESSE~ FEES <br />FREV,iOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />NO. <br /> <br />QUANTITY <br /> <br /> AMOUNT <br /> $440.8~ <br /> $160.76 <br /> $40,05 <br /> $125,,5~ <br /> <br /> $185.08 <br /> $15,,00 <br /> <br />$:1.,00~,56 <br />$i,005.56 <br /> <br /> PAYEE: <br /> RECEIVED BY: cl,. ........................................ TYPE: CHECK ,~: 0 <br /> <br /> · THIS IS A VALID PERMIT. THIS 'PERHIT EXPIRES ~88 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIO0 OF 188 DAYS,~ UR IF COHSTRUCTIOH FALLS TO HEET ALL <br /> E9UIREMENTS OF STATE LA~S AH9 H~RIOH COUH~Y ~UiLD~H6 AH~ ZOHIH~ QRDIHANCES~ THIS <br /> ALL ~ECOHE HULL ~HD VOID, <br /> HEIGHT: ,~E. TBAGIkS. FR <br /> TOTAL SQ FY: 2748 LS"-188 <br /> STORIES: 1 RS .B <br /> PLAN. ACTI0N: <br /> ENERGY PATH: 1 SP ........... <br /> <br /> REMARKS, DP:SS SF, FLANS SUBMITTED <br /> DONAI..I) E. WOO~LEY, MARION COUNTY BUlk. DING OFFICIAL / BY ............................................._~ <br /> <br />OFFICE COPY <br /> <br /> <br />