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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: 5813-5147 8:00 - 4:80 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />lamaregtsteredbuilderOR( )theauthorizedregresentatlve <br /> <br />The work will be Cedormed by a registered builder. <br />Other <br /> <br />this document, <br /> <br /> ' "," c",", -',~ <br />CONSTRUCTION TYPE; ~ OOOuInANov <br /> <br />,,Y,,E. ELECTRICAL <br /> <br />P{R~IT OR AP?L!CATIgN NO: 52t2& <br /> <br /> 9L]!:'EI{V]J,S];N,r;- t .......... [ ..All, !, J ..... <br /> <br />-f ~. ,,F~.,. S"FAYE ,~, ~ <br /> <br /> T0'"'AL ASSE~;SED F'EES ¢ 4',,! ,, 2~0 <br /> PREYtI:OUS RECEtF'TS ~1;0 ,, .rZ,, ,P, <br /> T?]:S R~[CEIt:'T ~1~42,, e~ <br /> <br /> , P~t .......... ~} k;.~, I_.,,.=cb~ .,.c ..... · R,...6,,.,,lt . ~(,h, .,~4 ..... <br /> <br /> .............. . .................................................................... : ........ ~ ......... ~ ......................... ~ ................................................... .......................................... <br /> <br />CONSTRUCTION CEASES FOR A PERIO~ GF 188 9AYS~ OR IF CONSTRUCTlO~ FAXLS TO ~EET ALL <br />REQUZR,EffENTS OF STATE LAWS AN~ MARION COUWTY BUILgIN~ AN9 ZONING ORDINANCES. TH~S PERffZT <br />S~ALL BECCt~E NOLL AN~ VOte. <br /> <br />FORM # MC tS-Se REV. 4/~ OFFICE COPY <br /> <br /> <br />