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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: 58845147 8:00 - 4:30
<br />24 HOUR CODE-A-PHONE: 588-7904
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<br />Other.
<br />
<br />r have read and agree to the terms stated on the reverse side of
<br />this document.
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<br /> :' ,8(~)/ t.'~/'~ } I ,LH[..,, J.,J.,,j}'~,,,,~ i TAX LOT: CATEGORY:
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<br />~ ~':)"~ F'AT~0N R~ ~ CONTRACT CITY; '~ 0~b: :OCCUPANT LOAD:
<br />
<br /> ........
<br /> · .,~r{~,, ),7 8R 97,J42 }Z)E'rROZT
<br />~ R[N~LE FAM;i'I.Y DWF,LLI4&.~<' 2
<br />
<br /> , J~H~DND..AD~ .................
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<br /> STAYTOI'h, OR ?7385 SITE NUMBER:
<br /> ~F ONE~ 8~¢~-'-782',:~&e~': VALUAT]:OH;~
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<br />TYPEs ~WEU. ING PERHIT O~ APPLICATION NO:
<br />
<br /> ITEM
<br />:O~EL[.]:NI; BU)],.DII46 FEE
<br />DWE[,.L IH6 PL[JHBI'NE.
<br />1)I~F. LL 1 NJ; HECHANIC,~L
<br />~)~*IEI..L i NG ELECTRICAL
<br />DWELL, INE STATE SURgHARCE
<br />Q~4E;,,.I.,ZNf; PLAN REVIEW
<br />
<br /> S§111 DP
<br />
<br />ARCHI TECT/ENG INEE'!% NO.
<br />
<br />PHONE
<br />
<br />(~UANTITY
<br />
<br />AtflOtJNT
<br />$221.
<br />
<br /> $20,,
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<br /> $1.9,,26
<br /> ~Jd. 85,, (89
<br />
<br /> , I 0 it Al,_ A.~SI'-SSED F !~ES
<br /> i : RRg,V.I. OU~ RECEIPTS $589.54
<br /> THIS RECEIPT
<br /> ·::
<br />
<br />PAYEE~ :
<br />RE&,;IV;D DY: L.D .......................... .~.,L,,,,,,LL___~,: ...... Z-: ........... TYPE; CIIECK
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<br /> ~ THIS IS A VALID PERHIT.::: THIS PERNIT EXPIRES :leo DAYS FEOH ITS ISSOE ~ATE, IF
<br />CONSTRUDTION CEASES EON A PERIODI OF 1Se DA~$, OR IF CONSTRUCTION FAILS TO NEET ALL
<br /> EQUiREMEHTS OF STATE LAWS ~HD HARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERNIT
<br /> ALL BECOME NULL AN9 VOID*:.
<br /> ' HEi(;FIT; SE'f~AC:KS: F'I:~
<br /> TOTAL ET: ;[~76 1,.,~'-5
<br /> [ENERGY PA YH,,: : STORIES: 2, RS'"5
<br /> PLAN. ACTION: AR"" :L 5
<br /> ENERCY PATH: !
<br />
<br /> PHONE,~ 854.-.3797. ' OFFICIAL / BY ~¢
<br /> }:)DNAL,~ E,, WOODLF. Y, NARIOH COUN'i'Y BLIII,,.~ING
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<br />FORM # MC 15-5~ REV. 4/90 OFFICE COPY
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