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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 ~.' ,~¢~¢¢.Y'~ ,,~~' " <br />of a registered builder. . <br />The work will be performed by a registered builder. <br /> <br /> 7788 75TH PL SE <br /> SALEH, OREGOH 97301 <br /> PHONE: 749-3811 <br />LOT; 8L OC K'. i S~C710N; [ TOWN,HiP: <br /> I r <br /> <br />SITE NUMBER: <br />VALUATION: <br /> <br />94-84177 <br /> <br />TYPE: ~ELLING PERNIT OR APPLiCATiON <br /> <br />CONTRACTOR. NO. <br />YOUNG~ IRWIN <br />?788 7§TH PL SE <br />SALEM, OREGON 97301 <br />PHONE: 74~811 <br /> <br />,ITEM <br />DWELLING BUILDING FEE <br />DWELLING P~UflBING <br />DWELLING MECHANICAL <br />DWELLING ELEC'TRIGAL <br />DWELLING STATE SURCHARGE <br />DWELLING PLAN REVIEW <br />DWELLING ZONING SURCHARGE <br /> <br /> 9959225 ~P <br />ARCHITECT/ENGINEER, NO; <br /> <br />PHONE." <br /> <br />TOTAL ASSESSED FEES <br />PREVI0US RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> $440.86 <br /> $160.7& <br /> $40.05 <br /> $125.5~ <br /> $38,,36 <br /> $185.00 <br /> $15.00 <br /> <br /> $0,00 <br />$1~005.56 <br /> <br /> BALANCEDUE $0,,00 <br /> PAYEE: YOUNG~ IRWIN 61806 <br /> RECEIYE~ BY: 6L .................................. TYPE: CE CHECK ~: ~;85 <br />* THIS IS NOT A PERHITo THIS APPLICATION NUST 60 THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING HUST BE CONPLETE9. ITIS THE ,RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br /> LL NECESSARY INFORHATIOH HAS BEEN PROVI~Eg, <br /> <br />PLAN REVIEW: BY ~-5'~.',~-* DATE <br />~UNING: BY ~% ....... <br /> .... <br /> <br />CITY JURISDICTION: BY DATE <br /> <br />HEIGHT: SETBA(;KS: FR~_~ ' <br />TOTAL SQ FT: 2740 L~/ <br />STORIES: 1 R~/~2. <br />PLAN. ACTION: RR~] <br />ENERGY PATH: 1 SP <br /> <br />REHARK,'i: DP:SS SF:PL~R~-TO-~E SUBR.I~TTE~-BY INSTALLED PM OF I0--26--~4 <br /> <br />FORM # MC 16-66 R~V, 4/90 0 F FtC E COPY <br /> <br /> <br />