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MARION COUNTY ESUILDING INSPECTION <br />SERA'fOR ~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 />I am performJr~g work on a property I own or occupy <br /> <br />51TUS ADDRB~RIBAY, JESUS <br /> <br />10:28:45 <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYPE <br /> <br />CATEGORY <br /> <br />OCCUPANCY <br /> <br /> 230 E~/~-NGR~EN OR <br />u s ¢4¢'f'~'~FLJS~4~ O~ <br /> <br /> CONTRACT CiTY <br /> <br />97325 <br /> AU~VILLE <br /> <br /> OCCUPANf LOAD <br /> <br />NO <br /> <br /> 4305 GARY ST <br /> KEiTER. OR 9?'303 <br /> PHONE: 390-2267 <br />LOT ~L OCK <br /> <br /> EVERGREEN ~JLg HOME PARK <br /> <br />S.i1'ENUf'ff:IE~: 11614 <br />RA%e~LUATiON~ ,ZON~ MAP <br /> <br />WIDTH L)~PI H AREA UNITS <br />50G0' <br /> <br />No NO <br /> <br />TYPE: PLUM~ZNG <br /> <br />PE~IT OR APPLICATION NO: <br /> <br />CON IRACfOR, NO. 14922 <br />CEN1RAL OPJSGL)N ~ILE <br />285 EO.PAC~F[C HIGHNAy <br />V'F3'OD~UPH, ORE~ 97071 <br /> <br />fqL781LE HONE ~ENER AND {AV~IER CO. NEC'lION <br />FLEe/ t:CJRCHARGE -ZONE 3 <br /> <br />QUANIiIY <br /> 1 $25.00 <br /> $3.84 <br /> <br />TOTAL A$SE,!~ED FEE~ <br />PREVIOUS REO~IPI'~ <br />tHIS RECEiP'I <br /> <br />BALANCE UUE $0.00 <br /> <br />PAYEE: INVOICE NO: 0 <br />N~CEiVEO WY: CL TYPE: CHECK ,~: 0 <br /> <br />* "rHi~ is A VALID PERf4iT * THiS PE~4~T EXPIRES 180 DAY~ FRC~ iTS I.?x~UE QATE. IF <br />CONStRUCTiON CEASES FOR A PERIOD OF 180 DAY~, OR IE CONSTRUCTION FALLS TO ~EET ALL <br />RE~JiREI~SNT$ OF S'¥A~E t. AN~ANDI~IARION C~UNTY BUiLD[NG AND ZONING ORDINANCES, THIS PEf~IT <br />~ALL 8ECONE NULL AND VOID. <br /> <br />REMARKS; N/S CONN R~8876 <br />[YONALD E. [4COOLEY, ~ARioN COUNTY BU1LDIN~ OFFiC1AL / BY ~ <br /> <br />FORM # MC 16,66 REV 4/90 OFFICE COPY <br /> <br /> <br />