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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: 588-5147 8:00- 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am performing work on a property I own or occupy, <br />I am a registered builder OR ( ) the authorized representative <br />of a registered builder. <br />The work will be performed by a registered builder. <br />Other_ <br /> <br />I have read and agree to the terms stated on the reverse side of <br />this document, <br /> <br />OWNER'. <br /> <br /> ~?'- CO~TRACT O~Y; <br /> AUMS~' E tlr 97;525 ~HARIOll COUN'fY N( <br /> ........................................................... <br /> <br /> O'~HEF: I,~ON--RESZfl)ENTIAL BUILD;[i,',SS <br /> <br /> Z6647 (ilLKEY RD ~ <br /> ~ HONL,,, 928-Z761 , 9ALUA'TtON: <br /> <br />TYPE: BUILDZNG PERMIT OR APPLICATION NO: 51936 <br /> <br />FEE <br /> <br />STATI.-T <br /> <br />AMOUNT <br /> <br /> $9:L ,, 55 <br /> $7,, ~S <br /> $7., r213 <br /> <br /> E¢~ E?¢ :~, OiJ ~ REc,r~IpTS <br /> <br />, * TH~S ZS A VALI~ PERMIT, THIS PER~IT:EXPIRES 18~ ~A~S FR~H ITS ISSUE DATE. <br />CONSTRUCTION CEASES ~OR A PERIOD. OF [88 DAYS, O~ IF ~O~STRU~TION FAILo TO MEET <br />EQU~RE~ENTS OF ~TATE LAWS AND MARION COUNTY BUILDIHQ AND ZONIN~ ORDINANCES, THIS PERKST <br /> ALL BECOME NULL AN~ VOID. : <br /> :: ..... ~ 1~ SETBACKS: FR 2~ <br /> HE.I. CH , <br /> TOT~I:~ FT~ 2~5D .... ~'""~ <br /> <br /> ENERGY P~Ti,,I[ IF'"' <br /> <br />~ORM # MO 15-56 REV, ~ OF FICE COPY <br /> <br /> <br />