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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 H~GH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am performitlg WOrk on a property I own or occupy, <br />I am a registered builder OR the authorized representative <br /> of a registered builder, <br />The work will be perlormed ~y a registered buitder, <br />Other¢ <br /> <br />this document <br /> <br />DATE: <br /> <br /> 8749 DARI.,EY RD SE ~86~f~XdTClTY; Ds~[ , OCCUPANT LOAD: <br />A}LW L,L: OR 97~25 ~MARION COUNTY NO <br /> <br />SAME <br /> ~ SITE W~BE~: 94-81~48 <br />PHONE: 74,~- 1;t~-''U r VALUAT]:ON: <br /> <br />TYPE= MECHANICAL <br /> <br />WALL. r, fkEIH, GARY <br /> <br />PHONE: 74~-d~95 <br /> <br />PERMIT UR APPLICATION NU: 54§32 <br /> <br /> Z 'I'EM <br />DOH ExHS'[ FANS & DRYER VENTS <br />AFP,..(AN.,E 8E .~CC~,,~SOr~Y (NOT ~OVERED) <br />MEC;HANICAL, BASEl FEE <br />HECHANICAt, ~FA~ ,,. SURCHARGE <br /> <br /> TOTAL AooEoSED FEES <br /> PREVIOUS RECEIPTS <br />, i 'fHIS I}ECEIPT <br /> ~£ANCE:DUE <br /> <br />QUAN'I:'I"FY AMOUNT <br />], $3,, 00 <br />;L $4.58 <br /> <br />$18., 2;8 <br />$:1.8. <br /> $~ ,, eO <br /> <br /> FAYI.I .... RECEIPT NO: <br /> ......... /Vt E.. CHECK :ii,: 0 <br /> RI.t,E1V,.D ~Y: F'H : " <br /> <br /> ~ THIS IS A VALID PERMIT?X' ~H~S PERHIT EXPIRES 18¢ DAYS FROM ITS ISSUE DATE. <br />CONSTRUCTION CEAS[¢ FOR A :PERIOD'OF 181 D~YS~ OR IF: CONSTRUCTION FAILS TO MEET ALL <br /> <br /> ALL BECOME HULL AND VOID. <br /> <br />F(~:.'".HARJ(Si: Ol.J., f.~ r_X 1FJ'IS ~,lh & BATH: rAH <br /> <br />~' OtqAJ D {;L, WO[))',~LI':¥',~ H~"C[OF~ C;OU['~'[Y BU,,,D,[i'-,(, OF'f;ICiAL / <br /> <br /> <br />