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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 />of m registered buflder. <br />Ti~e work will be performed by e registered builder, <br />Other <br /> <br />this document. <br /> <br />SIGNATURE OF APPLICANT: <br /> DATE'. ..... <br /> <br /> I)GF I],YE'S'[~Et']{I C0 LLg. ......................................... BEsI,:0ENIIAL <br /> SITUS A~DR~S~; ........................... CONSTRUCTION TYPE; ~ OCCUPANCY: <br /> <br /> ~O~UPANT LOAD: <br /> e~ LZ*~COL~ S~ ~'~"~ .... "~" <br /> u~ ~F ~0~5i~ .............................. <br /> <br /> ................................... , ............................ <br />~MAILING ADDRESS: ~ SUBDIVISION'. <br /> ~,,., .-~ UH~V-:Z~_~E----H E ~ ~ ....... <br /> 2746 FRONT ST NE <br /> SALEM 0R ~73~ ~ SITE NUH~ER~ <br /> PHONE= 588-93~~ ~ VALUATION: <br />ikon; ........... 1-~g~b-~ ................ ~ ~'E~i~l ................. ] ~TFP~ ........ ~-~i~E; ................. <br /> <br /> ..... .................... L.o .................................... <br /> <br />TYPE.- DI~ELLIHt~ PERHIT OR APPLfCATIOH NO: <br />C(INI'RA(;:TOF~,~ NO, ~15 <br />QC;F' INVESTMI~HTS <br />13~4 SW BERTHN BI_VD <br />PORTLAND, ~7219-~898 <br />PHONK: 246~.-~895 <br /> <br />DE"ELLING BUILI)INE FEE <br />DYE[,,L ING PLUMBING <br />;)Wl::,l,. I.. I N ~ MEZHANICAL. <br />DWELLING ELECTRICAL <br />DW[-:LLING ~l'A'rE SURCHARGE <br />QWELLING PLAN REVIEW <br /> <br /> ~¢ THiS IS A VALID PERNI <br />CONSTRUCTION [:EASES FOR <br />E~U,I;P, LI%NT9 OF ~ITATB <br />ALL BECOME NULL <br /> <br /> 6e547 DP <br />ARCH~TECT/EI,IGINEER~ NO. <br /> <br />PHONE; <br /> <br />~T <br /> <br />QUANTITY AHOUNT <br /> $252 r195 <br /> ~92.2Z <br /> $22.98 <br /> $72,, 02 <br /> $22.81 <br /> $185. ~0 <br /> <br /> $647.17 <br /> $647., 17 <br /> <br />:: ...... 10TAL SQ,,'-I. <br /> STORIES:' 1 <br /> PLAH. ACTIOF: <br /> :: ENERGY'PATH: 1 <br /> <br /> OFFICE COPY <br />FORM # MC 15.56 RE~V. ~ <br /> <br /> <br />