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MARION COUNTY BUILDING INSPECTION
<br />SENATOR SLDG, NO. 225
<br />220 HIGH STREET NE
<br /> SALEM, OREGON 97301
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<br /> PHONE: 588-5147 8:00 - 4;30
<br />24 HOUR CODE-A-PHONE: 588-7904
<br />
<br />of a registere¢ builder.
<br />The workw be peromedbya egse ed builder.
<br />Other
<br />
<br />this document,
<br />
<br />Ji;:FI!',~E '/'. C?ASE
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<br /> ¢~. } hi!.. f OR 97.,.4.~.,
<br />'O~E OF BUILDINg. ' .........................
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<br />,MAILIN~ ADDRESS
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<br /> ,,.~;, ...~i~. ..................
<br /> OCCUPANCY'
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<br />,.~-x~!,~.: ~ ....
<br />' OONrAACT CITY JGB' -OC~PANY LOAD'·
<br /> D ?.'~'l::'O F ~ ,iO
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<br /> ..... P'CFt:: :'0 N" A D D i T' t {)N ......................
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<br /> SITE NUMBER: 9~-~1155
<br /> VALUAT)-CIN: s90, 0(/~0, C40
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<br /> RANGE ZONE:
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<br /> ']~6; ~OT ..................... CO~.~.'. ' ' ~, '~;~ " '
<br />............. NC ~ ~0
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<br />TYPE: t)WELLIH6 PERMIT OR APPLICATIO~
<br />[;0NTRACTOR,,
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<br />5329 NW'ESTER ST
<br />Vf~NCOUVE[R,¢ WA 9866S
<br />F, , k ..... 8~ -6, ,, - (~....,6
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<br />DWELL',:i,iG E<UTi]_D~N[; F'E~E
<br />D~.JE]...L :i: N [, F'LUNBIN[;
<br />OWELL!I,iG MECHANICAL
<br />D~E[_L ]'i,l[; EL, ECTRICAL.
<br />DWEI,,,[ZN(; STATE SURCHAF(6E
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<br /> 48193 DP
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<br />A ,r']c]"lI 'f'E C T / EN S; I N[~]~];;~ ~ N[i,,
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<br />TOTAL ASSESSE:D FEES
<br />PREVIOUS RECEIPTS
<br />THiS RE'CE[PT
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<br />Q U A N T :I: T Y
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<br />A M 0 U ~f T
<br /> $298 ,, 9(f!
<br /> $:[06.08
<br /> $26., 47,
<br /> $82., O;~
<br /> $25,, 5:[
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<br />$ t litg,, 05
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<br /> ~::'¢YIi[I:'.:: JiFF'I:~EY,~ CHASE 54004
<br /> ?d"-": C E l ViE B BY:
<br /> ...................................................................................... !.iLE .................. Z'.'""': '
<br /> ....................................................... ::-::: ............................................................................ , ":,= ,[~4 L,J"l~::(..]k ;IJ~=
<br /> * THIS IS A VALID PERMIT. THIS PE~HiT EXPIRES 188 DAY8 FROM ITS ISSUE ~]'""'"~ .............................
<br />CONSTRUCTION C~ASES FOR A PERIO~ 8F 188 ~AYS~ O~ IF CONSTRUCTION FAILS TO ~EET ALL
<br /> EQUZRE~EHTS Or STATE LAWS AN~ NAAZON COUNTY BU[LglN6 AN~ lOWING ORDINANCES. THiS
<br /> ALL BECO~E HULL AN9 VOl..
<br /> HEIGHT: 23 ~: ~A kS~ F'R 20
<br /> TOTAL SQ F'T: ].8~8 LS'5
<br /> FL~N. ~ ;,' ':: ?' I:~J'~'"':l.~t;
<br /> ENEF(6Y PATH; ! SP'] ........
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<br /> SEP-r ;, :~99% AS CL~RRENTLY F'TF~D STAKED F'OR LOCATIONS ~
<br /> ..... ,.~ .......... . ......r F.F,,CZ ~,,.
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<br />~oRa,~ ac ~.~ ReV. ,~ OFFICE COPY
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