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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NC). 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 888-5147 8:00- 4:$0 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> I am perforrf~ing werk on a property ~ own or occupy. <br /> { am a registered builder OR ( ) the authorized pepresentative SIC~NATLJRE OF APPLIQANT~ <br /> of a registered builder, <br /> The work will be performed by a registered bu{{der. <br /> <br />,~ bWNE~: Y~ '¢6fi ...... CATEGORY: <br /> <br /> R--',~ <br /> 344 ASPEH DR -- 24 0~; ¢OC'CUPAN~ LOAD: <br /> <br /> H~NUF'AC'FURED , ,d.,,C, TU ~. ! <br /> ~i ,t CRE~K EbTATES <br /> <br />il. dtl i ~udcx;: {i~d'fid~i ........ I ¥6~§~4]i4 .............................. g^nae: ! ~61~I MA~,. <br /> <br />~an.el L, Carrier <br /> <br />~i~ ~ - ' ..... <br /> f .~A(TIIRE'D DTRL(,1LkL STATE SURC~I~R~E <br /> <br /> , TOTAL ASSESSED FEES <br /> : <br /> TH:rS RECEZPT <br /> <br /> I : ' BALANGK 'PUE <br /> <br />54&~1 <br /> <br />QUANTITY AMOUNT <br /> <br />$211. <br />$,_1 .[. 10 <br /> $~. 00 <br /> <br />P A Y Et:-' .', ' ~,NVO].[,E <br /> <br />*~K THIS IS A VALID PERMIT: ~$; TH~S PER~IT FEE COVE~ ONE iNSPECTION AND ONE <br />CBWNECTIONS A~E REeU~RED TO BE COHPLETED UPON ~EQUEST FOR THE FIRST INSPECTION. IF <br />PERMTT IS VALID FOR SIX ~ONT~S ONLY~ : RENEWED /Q~ 6 MONTHS UPON WRITTEN ~EQUEST FOR <br />MEET ALL REQOIR/~ENTS OF STATE LAWS AND MARION COUNTY BUtLDZN~ AND ZDNING ORDINANCES, <br /> <br /> ~ET~ACKS: FR <br /> Lo 15 <br /> <br />, ,.,A . H',:'(; ~ <br /> <br />,~ORM # MO 1 §.B~ REV, 4/90 OF FICE COPY <br /> <br /> <br />