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MARION COUNTY BUILDING INSPECTION <br />S~:NATOR BLDG, NO. 225 <br />220 HIGH STREET NE <br /> SALFMs OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24- HOUR CODE-A-PHONE: 588-7904 <br /> <br />of ~ registered builder. <br /> <br />Other <br /> <br />I have read and agree to the terms stated on the reverse aide of <br />this documenh <br /> <br /> 3~.]$ ]~2F~ H. :~:;.~¥ bi, N ~; CONTRACT CITY: J UGa: OCCOPANT LOAD: <br />PHONE:: <br /> <br />BUILDING 'PERMIT OR APPLICATION H,D: 52~46 <br /> <br />A [ I.[fECf/,.-_ ,d ,:.]:.~,~ N0. <br />r I"I[]~ql;,, <br /> <br />OUANTITY <br /> <br />A N [It.JN'~' <br /> <br /> $ ,".-'i 2 ,, 55 <br /> <br /> PRE.V, IOUS I~ECEIF:'!'S $:t. 4~h "' <br /> ]'i'iI ~1 :: REC:EI:PT , <br /> <br /> P. ECL:']:VEO BY: pfc .......................................... ;.ZL-L. ............................. .~,~;:,~,,,~,., TYPE'.' CHECK ~l~',~ 0 <br /> * THIS ~$ A VAL!~ PERMZT, THIS PERMIT EXPIRES ~8~ F~OM ITS ISSUE DATE. IF <br />CgNSTRUCTiON CEASES FOR A PERIOD OF 180 DAYS, OR IF.COnSTRUCTION FAILS TO MEET ALL <br />EQ~d'[REHENTS OF STATE LAWS AND MARION CSUNTY :BUILBi:NG: AN~ ZONING ORDINANCES, THIS PERMIT <br />ALL ~ECOME NULL AN~ <br /> <br />HE]:[;HT." !~ SETI.?ACKS: F:R...}~ <br /> 'I'O"¢AL, SQ ?'[: :L68~ LS 6 <br /> STOR l' E S: ], F<S' 4 <br /> PLAN, ACTION: Rr-(" 6 <br /> ENE R(; Y PA T H: S i':' ' <br /> <br />.................. AF~I 0 l ]) FOR l:¥(][V¢i--rl~: . <br /> (.,.I ,"%.I?~ ~(,V'LE~:i" ~c. ' OC¢"'F", '~'', .~,.At, YAI:?D. ':': :' <br /> <br />FORM ¢ MD 15-5~ RI--"V, 4/99 OFFICE COPY <br /> <br /> <br />