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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STREET NE <br /> SALI:M, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br /> ................. 24 HOUR CODE-A-PHONE: 588-7904 ~ <br />I am performing work on a property I own or ocoupy. ' <br />I am a registered builder OR ( ) the authorized representative SIGNATURE OF ApPt. ICA <br />of a registered builder, ' /' <br />The work will be performed by a registered builder. <br />Other , <br /> <br />r <br /> <br /> P O BO× ~.00 <br /> 'IURNER, OREGON 97392 SITE <br /> FI'lONE: 743-38~6 ~ VAL, UATION~ <br /> · [ , . <br /> <br />.............................. L ........ ~r.6¢r_..]_~ F~_ ........ : ............ <br /> <br />TYPE: 9WELLZHG PERHIT OR ~PPLICATIQH NO: <br /> <br /> [rEH <br />DWLLLilt[,~ BU,];I..DIi'.!G FEE <br />,f)WELL. IMG PLUH,B.T. N6 <br />Dt, IELI. ING MECHANICAL <br />DklELL INg EI..ECTRICAL <br />DWELLIN6 STATE SUR.C:HARI;E <br />DWELLZH6 PLAN RE¥IE~ <br />CURB D/W - BLD6 INSPECT'ION <br />CUrB D/W ,- PUBLIC WORKS, <br />D~di::LLINC, ZQNING SURCHAR:~E <br /> <br /> 9068897 DP <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br />QUANTITY <br /> <br />AMOUbt'r <br /> $643,.59 <br /> $234.68 <br /> $58.47 <br /> $183,,~6 <br /> $56.08 <br /> $185.00 <br /> ~i2.00 <br /> $48.00 <br /> $15,.80 <br /> <br /> TOTAbASSESSED PEES $:l,42&..90 <br /> PREVIOUS RECEIPTS ? 06 <br /> <br />· THIS IS NOT A Pt~IT. THI~ AP~[IC~tON,,,~U~6OTHROUCH A REVIE~ PROCEgS WHERE THE <br />FOLLOWING ~UST BE COHPLETE~,'.~ IT.,,IS'~,THE~).:RESPOH~ZB~T'~'t[IF' THE A~PLIOANT TO ASSURE THAT <br /> <br /> HEIGt-T <br /> TOTAL SQ },, ]% <br /> ~TOF<]:ES: <br /> PLAN. ACTION:: <br /> ENER(;,Y PATH: <br /> <br />OFF~OE ~OP~ <br /> <br />40~0 <br /> <br />SE:TBACKS:: F!'< ~ <br /> <br /> <br />