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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:: 588-5~147 8::00 - 4::30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />Other <br /> <br /> I have read and agree to the terms stated on the reverse side of <br /> <br />L)AIb 98/I b/91 f IM,'::: 12:lb'b9 <br /> <br />SITUS &DORESS <br /> <br />HALL~.: RIDGE 5UNINIt f ~,:~ <br /> <br /> CONTRACT CITY <br /> <br />MARION COLIN 1Y <br /> <br />UGB <br /> <br />O.hfR.RNf~R HUbO I,,4L~X :320 ~¢iLL Ci!Y <br />")MR NE/WORI<. 'f62S NW E'VERE1 f PORI'LN[) <br /> <br />BLOCK SECTION TOWNSHIP <br /> <br />! 0 <br /> <br />NO <br /> <br />CATEGORY <br /> <br />OCCUPANCY <br /> <br />OCCUPANT LOAO <br /> <br /> V,aLUA f iON: <br /> <br />RANGE ZONE MAP <br /> <br />IRREG LOT CORNER <br /> NO NO <br /> <br /> I YPI~ EL ~IL. I NICAL PERIvli 1 <br /> <br />Cr.)N ~ ,-,'AC T O/'~. NO t~3851 <br />!., [ c I.,.,';N.~5~, NO <br /> <br />'~C)R ~ LANID <br />PHONt'r 223 .- 182 ~ <br /> <br />5UPkRVISIN~ ~L~CIRICIAN/NUM~R <br /> <br />St:RViCE/FEEDER 101 rO 400 AMP~ <br />t!CCTRICAL ~TAIE ~URCHARGE <br /> <br />fOIAL ASSESSED FEaS <br />PREVIOUS RECEiPI~ <br />IHi5 RECEiPt <br /> <br />MALANCg DUE <br /> <br />4 <br /> <br /> -!V-U klY: DM2 TYP~; C. tECK ~: ,: <br /> <br />~ IHI5 15 A VALID PER,liT ~ THiS PERI~IT IE~PIRE,S 180 DAYS F,r'~7~ ITS i~,5UE DATE. IF <br />r..'ONSTRUCTION C~SES FOR I PERIOD OF 180 ~. OR IF ~ST~CTI~ FAi~ TO M~T ALL <br />R~IR~T5 OF STATE ~ ~D ~RI~ ~NTY BUILDING ~D Z~ING ORDIN~C~, THiS PE~II <br />~ALL B~E NULL ~O VOIO. <br /> <br />'<LMARKS: fl SERVICE5 R~3342 <br /> <br />'_)O!'~aL9 E_ ~NO(.)gLkY. IV]ANiON COUNIY BUILDING 0 FIC.!.4L / 8Y <br /> <br />~oR~ ~ MC lS,S~EV 4/eo OFFICE COPY <br /> <br /> <br />