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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 8:00 - 4.:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />of a registered builder. <br />The work will be performed by a registered builder, <br />Other <br /> <br />this document. <br /> <br />AUMSV]:LLE tlr 9'732,,5 <br />PHONE: <br /> <br />VALUATION: <br /> ~,,~,~000,,00 <br /> <br />TYPE: DUILD~N~ PER~ZT ~R APPLICATION ND: <br /> <br />A.:~.CH]i]'E'CT/~-NG]:NEER,¢ NE). <br /> <br /> ]: T E' M OLt A hi 'T' ]: 't" YA 1101 M T <br /> <br />[{t,J;J,.l)~'.J~ S'?A'Y'J~: SURCFARGE $2.53 <br /> <br /> TOTAL ASSESSED FEES $85.86 <br /> NEC;.IF TS $85,86 <br /> <br /> S~L:~IYCE <br /> <br />F'AYI-~E~ <br /> <br /> RECE]]VE:O E~¢,. El,,, 'TYPE: CHECK ~; 0 <br /> ~ THIS ;IS A VALID PERfiIT. THIS PERMIT EXPTEES 1Se DAYS FROM ITS ISSUE DATE. IF <br /> <br /> ALL BEBO~E NULL AND <br /> <br /> HE:I, GH'T'~ SE'f~ACI%S= FR / <br /> TO'T'~t;, S~ FT: 8 LB'"'/ <br /> <br /> F LAN,, ACTIOII RR "/ <br /> ENER(;Y PA'f H: SF<]~ ........ <br /> RE~Ai~%S: 'J:Ni' RE~ .-- i~X:[STZI,t(; RH TO ~ll,i Fd]OPt-- '"HE :'IZZA rE~L"d'~ <br /> <br /> I)ONAL;!> E,, ~[}[)I)I...I~Y,~ HARZON COUNTY <br /> <br />FORM ~ MC 15-~ R~, 4~ OFFICE COPY <br /> <br /> <br />