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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NC). 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4;$0 <br /> <br />PALHER/GROS$ CONSTRUCTION <br /> <br /> 57260000 RESIDENTIAL <br /> ......................................... <br /> <br /> 5-N <br /> <br />AUHSVILLE OR 97325 i <br /> <br />SINGLE FAHILY DWELLINGS <br /> <br />PHONE: <br /> <br />O~TE NUMBER: 92-03874 <br />VALUATION: $73,, 000. O0 <br /> <br /> ' 'c~m-~: ...... ~A: .......... iUN~: ....... :i~'LO~: ........ ~6~h~: <br /> 250 609 152250. i SF NO NO <br /> <br />TYPE: DWELLING PERMIT OR APPLICATION NO= <br /> <br />CONTRACTOR, NO. 53447 <br /> Palmer ~ros$ Construction Co <br />PO Box 5005 <br />Salem, 97304-0000 <br />PHONE: ~70-9405 <br /> <br /> ITEM <br />DWELLING BUILOING FEE <br />OWELLI~G PLUM~ING <br />DWELLING MECHANICAL <br />DWELLING ELECTRICAL <br />OWELLZNG STATE SURCHARGE <br />OWELLING PLAN REVIEW <br />TURHP[~E D~W - 6LOG INSPECTION <br />TURNPIKE $/W ' PUBLIC ~ORKS <br />OWELLING ZONING SURCHARGE <br /> <br /> 9043615 DP <br />ARCHITECT/ENgINEER, NO. <br /> <br />PHONE: <br /> <br />QUANTITY <br /> <br />TOTAL ~SOESBEO FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />AMOUNT <br /> $519,22 <br /> $116.40 <br /> $29.00 <br /> $90.90 <br /> $27,78 <br /> $185.00 <br /> $i.00 <br /> $16.00 <br /> $15.00 <br /> <br />$800,30 <br /> $0.00 <br />$800.~0 <br /> <br /> $0.00 <br /> PAYEE: PALMER/GROSS CONSTRUCTION 45705 <br /> RECEIVED BY: CL ...... ~ ..... TYPE: OK CHECK ~: 5229 <br /> <br />* THIS IS NOT A PERHIT. THIO APPLICATION MUOT 60 TRROUOH A REVIEW PROCESS WHERE THE <br />FOLLOWING MUST BE CO~PLETE~- IT IS THE RESPONSIBILITY OF THE ~PPLIC~NT TO ~SURE THAT <br /> <br />DUE <br /> <br />LL NECESSARY ~NFORMATION HAS BEEN PROVIDED. <br />PLAN R~VIEW:_.~Y.~i OATE LY~. <br /> <br />PUBLIC ~ORK~: BY ......... DATE__.~__~'_____ <br /> <br />CITY ~URISDICTiON: BY ...... DATE <br />REHARKS: DWELLING & DRIVEWAY <br /> <br />HEIGHT: ~6 SEI'GAOK$: FR ~ o <br />TOTAL SQFT: <br />STORIES: i R$_~_@ <br />PLaN,ACTION: RR <br />ENERGY P~TH: <br /> <br />OF~ICECOPY <br /> <br /> <br />