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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 />lamareglsteredbuilderOR( ) the authorized representative <br />Other_ <br /> <br />! I(EIZER BIJILDII',IG & DESIGN RESIiDEN'lrZAL <br /> <br /> &55 8TH <br />AUMSVILLE <br /> <br />SINGLE FAMILY DWELLINGS <br /> <br />PHONE: <br /> <br />OR ~7~25-' ~UMSVILLE 0 <br /> <br /> S~TE NUIfBER: 94-e397t <br /> VALUATION: <br /> <br />TYPE: B~ELL~Hg PERHIT ORAPPLICATION NO: <br /> <br />CONTRACTOR~NO. <br />M~l(e Kub~sh~a <br /> <br />PHONE. ~90 6716 <br /> <br /> I TEN ,'; <br />DWELLING BUILDING FEE <br />DWELLING PLUMBING <br />DWELLING MECHANICAL <br />]DWELLING ELECTRICAL <br /> Wr-kLIN S ATE <br />DWELLING PLAN EVIEW <br /> <br /> ~58829 DP <br />ARCHITECT/EN¢INEER~ NO. <br /> <br />QUANTITY AMOUNT <br /> $2~6.6~ <br /> $93.58 <br /> <br /> $73.07 <br /> $18§~80 <br /> <br /> PAYEE: Mike Kubish~a <br /> RECEIVED BY~ <br /> <br />~ THIS IS HOT A <br />FOLLOaING HUST <br />LL NECESSARY ZHFORHAT~OH,i i' ': <br /> <br /> SEPTIC: BY <br /> ............. PLAN. ACTION: <br /> <br /> CITY JUBISBICTION: BY <br /> REMARKS. NEW ~WELLING=~ <br /> <br />EE'§ $653. <br /> <br /> 61~96 <br /> ::TYPE: IN CHECK ~: 0 <br /> <br />REVIEW PROCESS WHERE THE <br /> APPLICANT TO ASSURE THAT <br /> <br /> SETBACKS: FR 20 <br />1595 L.S-5 <br /> RS-5 <br /> RR-S <br /> SP <br /> <br />OFFICE COPY <br /> <br /> <br />