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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 566-5147 <br />CODE-A-PHONE 4:30 RM. - 8;00 A.M, <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> DATE; <br /> <br />owlet:'--: flg/!,:/,..,; <br /> ,~l.x~N, 'TON} <br /> <br />TAX LOT: <br /> <br />CONSTRUCTION TYPE: <br /> <br />90061-091 <br /> <br />CATEGORY: <br /> <br />OCCUPANOYI <br /> <br /> r ~ PL. <br /> ~ ~ 0 q 0T~"! <br /> AUYS',/T L L E <br />USE O¢ BUILDING: <br /> <br />,.,R 97325 <br /> <br />NO <br /> <br />PO BOX 185 <br /> <br />PHONE: 789-~7364 <br /> <br />LOT: BLOCK: SECTION; TOWNSHIP: <br /> <br />GTLDCW +*~. <br /> <br />SITE NLI:'CBER: VALUAT <br /> <br />MAP; <br /> <br /> I 25 <br />WIDTN: DEPTN: AREA: UNITS: <br /> <br /> 70 '108 <br /> <br />8~ IRRE~ LOT; ~'~ CORNEH: ~S ~ '/ <br />SF YES <br /> <br />TYPE <br /> <br />PERMIT OR .A. PPL[CATZON NO: <br /> <br />CON, R,~,,,,: O:.,, ',"40. 29638 <br />-r'.G.N:C;F'OL Cxl rao'~Na TNC <br />,,.,,; ~O/ ~86 <br />AUMSV~LLE ~R 9?325 <br />P~ONE; 7~-,207'! <br /> <br /> ;TEIY <br />F~S I DE"N?' I AL F !XTLJR~, <br />~::"._L]~B/NG BASE FEE <br /> <br />F"...U,'c]BING STAT~ SURCHARGE <br /> <br />~CE!VED BY: <br /> <br />~ THIS IS A VALID PER~IT <br />CONSTRUCTION CEASES FOR <br />~EOUIRF_J4ENTS OF STATE <br />SHALL BECOf4E NULL ~0 VOl( <br /> <br />NE¼1 CONST,,; <br /> <br />'}8778 <br /> <br />QUANT I'TV AMOLINm <br /> 6 $5~.. ,-,-.'-'-' <br /> ¢,,;2Q <br /> <br />BALANC~ ~..IP. $0. Cc` <br /> <br /> NO: <br /> <br /> I,:TS IEx.SUE DATE. IF <br />ION FAILS TO MEET ALL <br /> ORDINANCES, THIS PERMIT <br /> <br />..... 0),,,~ Y, ~4/'~,R:iON COUNTY BUILDING O'¢:"~!CI'AL / BY <br /> <br />Far~.uc ~,.¢~ aEv~ OFFICE COPY <br /> <br /> <br />