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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM OREGON 97301 <br /> <br />DON <br /> <br /> PHONE:: 588-$147 8::00 - 4::30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br /> 11446 b]EAN ALLEY RD ~- <br />AU~VI LLb:, OR 9732.b <br /> <br />SIGNRTURb OF ARPLICANT ~ ~ <br /> <br />TA;~ LOT <br /> <br />~ARiON COUN fY NO <br /> <br />CATEGORY <br />OCCUPANCY <br />:0OCUPANT LOAD <br /> <br />:~55 E_ V/RG[NLNA <br />5TAYION, OR 973(~3' <br /> <br />5ITC NUMBER: <br /> VALUAIjON; <br /> <br />AR~A 9_~ UNITS AC IRREG LOT NO 'OORNE~u <br /> <br />NO OF RFDROOMS <br /> <br />fYPe: gLECfRiCAL <br /> <br />I. ICENSE NO: <br /> <br />5TAYfUN, OR 9?383: <br />PHON~ 769--239~ <br /> <br />PERMIF OR APPLiCAf~ON NO: 3356] <br /> <br /> SUPbRVI~1NG ~LEC~RICiAN/NLMMER <br /> <br /> , f <br />~<ANCH CIRL;UI f:~ - EACH ADU~ I IONAL fEN <br />· ' ~( IR£CAI_ 5~A/E <br /> <br />P~YE!::: !~4.)!<1L':.N, DON <br /> <br />fOfAL A~E~ED F~E$ <br /> <br />QLIAN f [ ¥ Y ~,?IOLIN f <br /> <br />$15 <br /> SO,aU <br /> <br />BALANCE DUE $0.00 <br /> <br />REC~IPf NO: 35383 <br /> <br /> Rt::C~-~V~D IJYt CL ~YPE: CK CHECK ~: ~610 <br /> THIS 15 A VALiO PERf4iT ~ THiS PER~4iT EXPiReS 180 DAYS FROf4 iTS ISSUE DATE. IF <br />¢DONSTRUCTION CEASES FOR A PERIOD OE 180 BAYS, OR iF CONSTRUCTION FAIL5 TO MEET ALL <br />REQUlRE~4ENT$ OF STATE ~ AND r4ARiON COUNTY BUILDING AND ZONING ORDINANCES. [Hi5 P[R~4iT <br />5MALL 8ECOCqE NULL AND VOiQ. <br /> <br />!4:~:MARKS: ~,U011,~Oh,!:L 10 CIR ON PBR~417 ~ 33215 h-OR SC Rl~BbltJ <br /> <br />£)ONAI,.D E, ~,YDODL.E'Y, NIARI©I"4 COUNfY ~U.II_DiNG OFF{C',i.A~ / ~Jl¥ ............. ~.~,, <br /> <br />FORM # MO 15-58 REV 4/90 OFFICE COPY <br /> <br /> <br />