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MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG. NO. 22,5
<br />220 HIGH STREET NE
<br /> SALEM, OREGON 97301
<br />
<br /> PHONE 588-5147
<br />CODE-A-PHONE 4:30 FtM. - 8:00 A.M,
<br />
<br />Other
<br />
<br /> EX)RAN, TC)X 9008!-.00'!
<br />SITUS ADDRESS: CONSTRUCTION T¥~E: OCCUPANCY:
<br />
<br /> 9 q 0 '~ 0 T~'l Rb CONTRACT CITY: UGB:
<br />~,~V L...L, OR 97325
<br />us~ o¢ ~UtLg~N8 .A[..I ~1,,~ V Z LLE NO
<br />
<br />PO BOX 185
<br />SUSLI,'vI';T'Y OR . ~385
<br />P!,¢' NE: 76g., 738¢,
<br />
<br />GILOON ~
<br />
<br />SITE i',Jur,48 ER:
<br /> VALU.a,T ! ON:
<br />
<br />WIOTN: '} DEPT~4: ') AREA: 25 UNITS: 8S
<br /> 79 ! 08 SF
<br />
<br /> 21.4 RS 5 'i
<br />IRREG. LOT: CORNER~
<br />
<br /> YES NO
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<br />TYPE:, r'CE:CH,~,NTCAL PERMIT OR APPLICATION NO:
<br />
<br />/2ONTRAC'fOf-tu NO. 55493
<br />TO!v~ DORAN
<br />BOX '! 85
<br />SUSL INITY 9'7385
<br />· ',"d-!ON E: '7 E, 9 -? 364
<br />
<br />DOf"4EST~C RANGE HOOD
<br />OOf'fl EXFS'T ¢=ANS & DRYER VENT~
<br />N,ECHAN ~ CAL S/~,~,E
<br />¢.. EE ~' 5L RCHA&GE -ZONE 3
<br />~!BCbAN I CAL. STATE SURCHARGE
<br />
<br />'1877G
<br />
<br />TOTA,U A,C~SE~- S E D
<br />THIS RECEIPT
<br />
<br />OL AN T i TY AMOtlhi T
<br />1 $4 . !50
<br />3 ~9.00
<br /> $3,84
<br />
<br />$,.. ~ 5 2
<br /> $ 0.0 c,.'
<br />
<br />SALANCE 3LiE $0
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<br />F'*,a,.YEE: Z'NVOiCE NO:
<br />
<br />........ ~ ~ ................... ~ ~ ............ ~...... .... ,,,~ ,¢.. ~.- ~-- ~- __ ~ ~-~,~. ....... ~ ~.~ ~,~,~, ~ -.~ ...... _~.~. .... ~ ..................... . .~,
<br /> ~ THIS IS A VALID PE~IT ~, %H,fSi'~E~'I,T '~PZR~',,I~0':DAYS "~ [TS I~E OATE._ IF
<br /> ~%T~CTI~ C~% FOR A pE~{,OD',,O~ 180CDAY%; OR'IF ~S%~Q~I~ FALLS TO NEEt ALL
<br /> REdIReCTS OF STATE ~ ~':,~RI~ ~N~ 8U.ILDING, ~D Z~ING ORDIN~CES, THIS PE~IT
<br /> ~ALL BEdE NULL AND VOID,. '::,'",,,, [', ':', '~;'' ,, , ',,: ", '
<br />
<br /> R~,6RKS: HD ~N : ,
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<br />~o.~* mc 15-s~ REV ,/es OFFK;E COPY
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