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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 22,5 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-514.7 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />DATE: <br /> <br /> OWNER'. ~ TAX LOT'. CATEGORY; <br /> '('t,K~tAS ~ 1. VAN ,RES!]~EN'f'ZAL <br /> ! CONSTRUCTION TYPE; <br /> <br /> (:,~.', ~¢~- AI~.~{~]I:~[;~CJ~ R9 ~; { CONT~A~ ~m~'. : UGB: OCCUPANT LOAD: <br />j ~UHSV:~]..LC O~ ~7~25 ~RZON COUNTY <br /> <br /> MAILING ADDRESS: , SUBDIVISION: <br /> <br />769-22?2 <br /> <br />SITE NUMBER: ~4-0171~ <br />VALUAT;[ 81'4,~ " '"~ '"' <br /> .~' :1 ~ ,~,, ~ ~' ,, ¢/,'] 0 <br /> <br />TYPE: BUILDING <br />I'?!OHAS~ :(VAN <br /> <br />PEEHIT OR APPLICATION NO: 57882 <br /> ARCH:["f'E CT / Ei-,iG'Z NE:ER ~ NO,, <br /> <br /> :r'FEH <br />BU'[ [_D:U,IG FFE <br /> <br />BU'[LDING ~iTATC SURLtH~REE <br />~ t'ti,t l I,t~ SURCHAR~;[ <br /> <br />Q U A N '[' :[ 't- Y <br /> <br />$1.10 <br />$!.i0 <br /> <br /> WA[ ~NCE DUE <br /> <br /> THOMAS. 'i;VAN <br />RI-LEIVF'~ BY',; ~ .......................................................................... IYFE. CK CHECK :~,~ 5165 <br /> <br /> $ THIS IS A VALID PERMIT. THIS PERHIT EXPIRES 180 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOi) OF 18~ 9AYS, OR IF CONSTRUCTION FAILS TO NEET ALL <br /> EQ~IREHENTS OF STATE LAWS AND MARION COUNTY BUILDING AND ZONING ORDINANCES~ THIS PERMIT <br /> ALt. DECO~E N~LL AN~ VOlg. <br /> <br />PORN # MC lS'~$ REV, 4/90 OF FILE COPY <br /> <br /> <br />