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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 />( <br />( <br /> <br />( <br />( <br /> <br /> am performing work on aproperty I own or occupy, <br />am a registered builder OR the authorized representative <br />of a registered builder. <br />The work Will be performed by a registered builder. <br />Other <br /> <br />I have read and agree to the terms stated on the reverse side of <br />this document. <br /> <br />i ',I~NTRACT CITY: I UGB: ~UPANT LOAD: <br /> 620 81'H <br />k _- AUMSVIL. LE OR 97325 ~UMSVILLE IlO <br />lUSE Or ~U,LO,.~ ' [.0 OF .EO.OOMS. <br /> <br /> SITE HUN~ER= <br /> TURNER~ <br /> ~7372 <br /> PHONE~ 743-2567 <br /> <br />TYPE: DWELLING PERHIT OR APPLICATION NO-' 9~66868 DP <br /> <br />C~NTRACTOR. NO. 9761& ARCHITECT/ENGiNEER, <br />2IVNEYS CONS1. INC. <br />PO ])OX 231 <br />TURNER~ 9739~. <br />PHONE: 7~3-2567 <br /> <br /> ITEM . <br />DWELLIliG BUILDING FEE <br />DWEL [.IN~ PLUMBIN6 <br />])WELLING HECHANICAL <br />DWELLING ELECTRICAL <br />])WELLING STATE SURCHARG <br />I)WEI. LiNG PLAN REVIEW <br /> <br />PAYEE: ZIVNEYS CONST. <br />RECEIVED BY." <br /> <br /> $ THIS I8 HOT A PERMIT. <br />FOLLOWING HUST DE <br /> LL NECESSARY INFORNAT <br /> <br />PLAN REVIEW: <br />ZONING: BY <br />SEPTIC. BY <br /> <br />CITY JURtSDICI'ION: BY <br />REMARKS: NEW RES <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $296.85 <br /> $187.95 <br /> $26.89 <br /> $84.38 <br /> $25.76 <br /> $185.88 <br /> <br />$725.95 <br /> $8.08 <br />$725.95 <br /> <br /> $8.88 <br />iTYPE: 63589 <br /> IN CHECK ~: 0 <br /> <br />REVIEW PROCESS WHERE THE <br /> <br /> SETBACKS: FR 28 <br />1848 LS"5 <br /> RS-5 <br /> RR-5 <br /> sP'z___ <br /> <br />OFFICE COPY <br /> <br /> <br />