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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 />The work win be performed by a registered builder. <br />Other <br /> <br />DATE; <br /> <br /> 568 8TI-I ST -- ' ~ <br />~ AUHSV~LL.E OR 9'7~2~; ~UHSVILLE ~O ~ <br />iUSE OF ~Ol'~'bl'~6; NO OF BEDROOMS <br /> <br /> ...... ¢¢dMb-%E[ E L E ,,M EflIDO1/,t5-- ............... <br /> 2493 LATONE CT NE <br /> KE~ZER, OR 973~3 SITE NUHBER: 94-~4679 <br /> PNONE~ 588- 933~ ~ VALUATION: <br /> <br /> ~ ~-2¢~ -'-'J' 84~---'-J <br />........... : ............ .......................... ,... ...................... <br /> <br />TYPE: DWELLING PERMIT OR APPLICATION NO: <br /> <br />COHIRACTOR, NO. 00;515 <br />DGF INVESTMENTS <br />1;~04 SW BERTHN BL. VD <br /> <br />PHI)NE: 2q6'~3~95 <br /> <br /> ITEM <br />DWELLING BUlL. DING FEE <br />DWELLING PLUMBING <br />DWELL. IN(; MECHANICAl.. <br />DWELLING ELECTRICAl. <br />DWEt. L.~N(;STATE SURCHARGE <br />QWEI.,LIN6 PLAN REVIEW <br /> <br />PAYEE;: DGF INVESTMENTS <br /> <br /> 98&027~ DP <br />ARCHITECT/ENI;INEER. NO. <br /> <br />PHONE: <br /> <br />", ,:'~O,TAg ASSESSED FEES <br />'-' ~'P~V~OUS'RECEIPTS <br />':~:THI, S',R,ECE.IPT <br /> <br /> tNCE DUE <br /> <br />QOANTITY <br /> <br />AMOUNT <br /> $248.75 <br /> $90.70 <br /> $22,60 <br /> $70.83 <br /> $21.64 <br /> $~85.00 <br /> <br /> $0.00 <br />$639,,~ <br /> <br /> $0.00 <br />~2880 <br /> <br /> RECEIVED BY: PM TYPE: IN CHECK $: 0 <br /> ........... '=:='=:===:=~====~-j~-_=~=:=~=-_::=~=: ......................... ~ .......................................... <br />-~-~HI~'"~ NOT A PERMIT. 'THIS,IA~P[iC~TION:?HUS~:,GOTHROUCH A REVIEI,~PROCESS WHERE THE <br />FOLLOWING MUST BE COMPLETED~: IT~,IS,~THE.';,'RESPO~glBILITY,OF THE A~F~.~ANT TO A~SURE THAT <br />LL NECESSARY INFOR~ATIONHAgBEEN, PROV,Z~ED.:.!',' <br />PLAN <br /> <br /> ' ' ' ENERGY P~TH:~ SP .... <br /> DITY JURISdICTiON: <br /> RE:HARKS: NEW RES <br /> <br />OFFICE COPY <br /> <br /> <br />