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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. N0.'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 />Iofema registereda registeredbuilder,builder OR ~ he au hot zed epresen eve <br />Other ,, <br /> <br /> 8'50 LINCOLN ,~T -- / ~ <br />AU~SVILLE OR 97725 ~U~SVZLLE .... HO <br /> <br />27~6 FRONT SF NE <br />SALEM O~ 77~ I SITE NUNBER: 94-~481~ <br />PHONE: ,,~88,-.~7~9 ~ VALUATION: <br /> <br />TYPE: DWELLING <br /> <br />CONTRACTOR~ NO. 00315 <br />DGF INVESTNENTS <br />1~04 SW BERTHN BLVD <br />PORTLAND. 97219,.-0000 <br />PHONE: 248-.~095 <br /> <br />PEI~NIT OR APPLICATION NO: 9~t~,052§ DP <br /> <br /> AECHITECI'/ENGINEER~ <br /> <br />PHONE: <br /> <br /> ITEM ' <br />DWELLING BUILDING FEE ' '::::: <br /> <br />QUANTITY <br /> <br />~)WELLIFIG PLUMBING <br />DWE[,.LIN¢, MECHANICAl , ' : <br />DWEL. LII'IG ELECTRICAL ':: '~'' ': <br />DWEL, I..:CNI; STATE SURCHARGE <br />DWELLING PLAN REVIEW :~: <br /> <br /> PAYEE: DGF INVESTHENTS <br /> RECFIVED BY: ~b <br /> <br /> * THIS IS NOT A PERNIT.i <br />FOLLOWING NUST BE <br /> LL NECESSARY <br /> <br /> PI,,.AN REVi£ E~-J ~ ': <br /> ZONING: BY <br /> S,EPTIC: BY <br /> <br />CZTY JLIRISD'~:CTION: <br />REMARKS,~ DP <br /> <br />AHOUNT <br />$252.93 <br />392.23 <br />$22.98 <br />$72.02 <br />$22.0:1, <br />$185.00 <br /> <br />ES $847.17 <br />: $0.00 <br /> $647.17 <br /> <br /> : $0.00 <br /> .TYFE. IN CHECK :~: 0 <br /> <br /> REVIEW PROCESS WHERE THE <br /> APPLICANT TO ASSURE THAT <br /> <br />R !5 ........... <br />I~R ........ <br /> <br /> ....................... 'STORIES: <br /> I LAN. AL~ION~ <br /> :: ENERL;Y PA'TH: <br />BY ....... _ ........ DA1 E <br /> <br /> OFFICE COPY <br />FORM # MC t5-5~ RE'V. 4/9o <br /> <br /> <br />