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MARION COUNTY BUILDING INSPECTION <br />SENATOR @LDO, NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 9"7301 <br /> <br /> PHONE: 588-514-7 8:00 - 4:30 <br /> <br />24 HOUR <br /> <br />I am a registered builder OR ( ) the authorized re;~ <br />Other ,, ' <br /> <br /> '"* <br /> <br /> PF,~RCE~ OH~RLEB <br />~ITUS AODRE~S: <br /> <br />;ODE-A-PHONE: 588-7904 <br /> <br />;esentative <br /> <br /> } RE,SI,I)ENT:[ ~L <br />CONSTRUCTION TYPE; : OCCUPANCY: <br /> <br /> 88t~;6 JEANNE Cl' SE CONTRACT CITY; UGB; OCCUPANT LOAD: <br /> AtJflSV,[L_[E OR 7~25 ,N~k~O COLINTY bio : <br /> <br />; SITE HUH~ER= 94-e1~32 <br />': PHOI,IE: ;5~3-6954 VALUATION: <br /> <br />:L'oT: :'EE56R~ ~ ~fi6~'; ' TOWNSHIP: ! flANgE: ~' ZONE; ,: MAP: <br />~. ] A2, ~ ................ Da ............... 2H ................... AD.~ ; 4~ <br /> ~,9 : AC ~ NO : NO <br /> <br />TYPE: MECHANICAL <br /> <br />CONI'~ACTO~. NO. <br />PEARCE~ CHARLES <br />SAME <br /> <br />DOM EXHST FANS & DRYER VENTS <br />MECHANICAL BASE FEE <br />MECHANICAL STATE SURCHARGE <br /> <br />PERMIT OR ~PPLICATION HO: 53484 <br /> <br />91JANTITY AHOIJHT <br /> 1 <br /> $!0.00 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPT~ <br />THIS RECEIPT <br /> <br />BAI,,,ANCE DUE $0. Og <br /> <br />PAYEE'-" RECE:[PT NO: <br />RECEIVED BY: PB TYPE: CHECK .t1,: 0 <br /> <br /> THIO ........ IO A VALID PERMIT ...... ~ YHIS PERMIT' -EXPIRES-18~ DAY~- FRO~ ITS IBSU-~ DATE. IF <br />CONOTRUCTION CEASES FOR A PERIOD OF 188 DAYO, UR IF CONSTRUCTION FALLS TD flEET ALL <br /> EGUIREMENTS OF STATE LAWS RflD MARION CI]UNTY BUILDING AND ZONING ORDINANCES, THIS PERHIT <br /> RLL BECOME NULL RND VOI~. <br /> <br />REMARKS: <br />D(.)t IAI.,1) <br /> <br />EXHT EAN ~ATHRM <br /> <br /> WFIODI..EY~ HAJJI;ON C]U, IFY BU;[Llf)£NI;. OEF'ICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />