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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br /> P20 HIGH STREET N1~ <br /> SALEM, OREGON 97301 <br /> <br /> PHON~=: 58,8~147 8:00- 4:80 <br />84 HOUR CODE.-A~PHONE: 588-?'904 <br /> <br />· ow~ PALHER/~ROSS CONSTRUCT~0N 572~0000 RESIOENTIAL <br /> .... ' ................... TG~db~A~C~ ............... <br /> StTUS ADD'EGG', ......................... ,, ~N~TRO~flON TYPE: <br /> <br /> ~98 3ILVEE FALLS HWY <br /> ~UHSVILLE OR '~7325 ;HRR[ON COUNTY NO <br /> { · <br /> <br />,uS~ OF bO~bTR~'J ................................... <br /> ~NGLE FAMILY DW~LL~NG~ <br /> <br /> PHONE: <br /> <br /> 250 60~ 152250. : SF ~ NO ~ NO <br /> <br />TYPE: O~ELLIN~ PERHIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 53447 <br /> Palmer Gross Construction Co <br />P0 Box 5005 <br />SaZem, 97504-0000 <br />PHONE: ~70-9405 <br /> <br /> ITEH <br />OWELLIN~ BUILDING FEE <br />DWELLING PLUMBING <br />OWELLING MECHANICAL <br />DWELLING ELECTRICAL <br />OWELLING STATE SURCHARGE <br />OWELLING PLAN REVIEW <br />TURNPIKE DEW - BLOC INSPECTION <br />TURNPIKE O~W - PUBLIC W~BK$ <br />DWELLING ZONING SURCHARGE <br /> <br />SITE NUHBER~ 98-0~874 <br />VALUATION: $7[,000.00 <br /> <br />: MAP: <br /> <br /> 4~615 DP <br /> <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br />TOTAL ASSESDEO FEES <br />· PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />QUANTITY AMOUNT <br /> <br /> $~16.40 <br /> $29.00 <br /> $90.90 <br /> $27.78 <br /> $185.00 <br /> $1.0o <br /> $16.00 <br /> $15.00 <br /> <br />$800.~0 <br />$800.~O <br /> $0,00 <br /> <br />$0.00 <br /> <br /> PAYEE: <br /> RECEIVED BY: PB ....... ~ ...... TYPE: CHECK ~: 0 <br /> <br />* THiS IS A VALID PERMIT. THIS PERMIT EXPIRES [80 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAIL~ TO NEET ALL <br />EQUIRENENTS OF STATE LAWS AND MARION COUNTY BUILDING ANO ZONING ORDINANCES, THIS PERMIT <br />GALL BECOME NULL AND VOID. <br /> HEIGHT: lG SETBACKS: FR 20 <br /> TOTAL SQFT: <br /> ENERGY PATH: STORIES: 1 RS-LO <br /> PLAN.AC.TION: RR-'5O <br /> " ENERGY PATH: 1 <br /> <br /> REMARKS: DWELLING & DRIVEWAY <br /> DONALD E WOODLEY, MARION COUNTY 81;~,i~N~o;~FIOIAL / BY <br /> <br /> <br />