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MARION COUNTY BUILDING INSPECTION <br /> SI~NATQR BLDG. NO. 225 <br /> 220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />) , am a registered builder O1~ th e authorized re presen a ve S GNATURE OF APPL <br /> <br /> ~ TAX LOT: ~ C~T~O~y; <br /> C00KMAN, ~COTF ; ~7~ RE'.~]'.DE],IT ~ AL <br /> <br /> , 5-N ~ R-3 <br /> AURSRA OR ~7~2 ~ MARION COUN'I'¥ NO <br /> <br /> .... ,.. ~ <br /> <br />, SITE HUMBER: 94-~I454 <br /> PHONE: 678' 2:~ 95 VALUATION. <br /> <br />TYPE: DWELLING <br /> <br />£i0N"f F~AI];TOR ~ PC). <br />[-~I]OI(.MAN, Sf,;OT T <br />OAHE <br /> <br />F'HOHE: 678-2195 <br /> <br />PA fEE. ~0OKM~',F~,~ <br />¢..C ,IYE0 DY, <br /> <br />PERHIT OR APPLICATION NO: 54228 DP <br /> ARCH?I'ECI'/ENG I NEER,~ NO,, <br /> <br />PHONE: <br /> <br />QUANTITY <br /> <br />:r O'FAL A,,,S._,:SF.D FgE,,~ <br />FtREVIO SREC, EZPT~ <br />TH~'8 RECEIPT <br /> <br />BA~ANC~ DUE <br /> <br /> TYPE: CA <br /> <br /> AMOUNT <br /> $200.00 <br /> <br /> $200.90 <br /> <br /> $160.00 <br />56698 <br /> <br /> * THIS IS A VALi9 PERHTT',; :::~HiS pERHI'TEx~.IREs :188, BnYS FRBH ITS ISSUE DATE. IF <br />CONSTRUCTIO~ CEASES FOR A PER'OD:OF 18B DAYS~:OR.IF CONSTRUCTION FALLS TO MEET ALL <br /> ALL 9ECO~E HULL AMD VOID~ ; <br /> HE:I:GHT: 3B ,,,ET[ ACKo,, FR <br /> TOTAL S[~ FT: 58~ LS .......... <br /> STORIES:~ o RS ............ <br /> PLAH. ACTIOH: RR ............. <br /> ENERGY PATH: <br /> RJ!HARKO: COMPLE'~):ON J, ,. ~( iON. ON DP PERH"T ~3255Y/ ~L )JNSP,, INS[,,h,,,A]lO, l FRAHIJ,I~L~ <br /> DR'(W~J ~ FIliAL, , <br /> <br />FORM # MC 15-56 REV. 4/90 OFFICE COPY <br /> <br /> <br />