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MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG. NO. 225
<br />220 HIGH STREET NE
<br /> SALEM, OREGON 97301
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<br /> PHONE: 588-5147 8:00 - 4:30
<br />24 HOUR CODE-A-PHONE: 588-7904
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<br />lamaregisteredbullderOR{ ) the authorized representative
<br />
<br />]'he work will be performed by a registered builder,
<br />Other
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<br />document,
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<br /> 8749 ~)Ar~Lli:Y I~) st_' ?COmB^CT ¢ W i U~B: 'i O~P*~T LO*B:
<br />~JMSV]'L[F OR ?7325 'H~F(fON COUNTY NO
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<br /> SITE NUHBER~ 94-0~648
<br /> ' '-" ,..=~ ~ ,J.~,. 00
<br /> PHONE. 749,-.139.g VALU~T;I;ON: ,1">' ='~"' '
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<br />.... I- - - ~ &~ ....... ~-- $ , ~>~ ~ '* 62
<br />WIDTH: r DE ~H'. ] AR¢~: U "{¢8.' '~G, LOT; CCE~:
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<br />TYPE: DUILDINg
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<br />COMTRACTOR, NO.
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<br />PERHIT OR APPLICATION
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<br />ARCHZTECT/ENGZNEER~ NO,
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<br />PHONE: 749.-,J. 3~5 PI, lONE:
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<br /> I fEN
<br />BUI L.D,TN6 F',~i]i,;
<br />PLAH REVIEW
<br />BUIL,.D[I,IG STATE ~;URCHARC, E ,
<br />ZOI,I:[N6 SURCHARGE
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<br />P A Y Iii: ii;: :
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<br />QUANTITY
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<br />AMOUN'?'
<br /> $179,, 50
<br /> $i16,,68
<br /> $0,, 9~
<br /> $8,, 98
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<br /> F,X;CI,._'.rvL:;D ;BY: PH ' TYF'E; C1M,,K ,11:: 0
<br /> THIS is A VALID PERHTT,, THIS'PERMIT EXPIRES 18e :DAYS FROM ITS ISSUE DATE. IF
<br />CON~TRUCT.~OH CEASES FOR ~ PEE]O~ OF [8~ ~RYS~ ~R ~F CONST~UCTZON F~ZLS TO ~EET ~LL
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<br /> ~LL ~ECOHE HULL BND VOID;
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<br />f,I h-.,rd,W P h TI'h,' 1
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<br />REHARKS:: RF.Y/A;O~
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<br />HE~o,{;H'/': !]E'i"BACI~S: F'R 20
<br />'l-O'f'A[_ SQ FT: 886 L,S :LO
<br />STOR]:ES: :L R S"",-,
<br />PLAN. ~CT[ON; RR "5(~:
<br />ENER(;Y PATH: :L
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<br />?A Ik)7 :g ~ ZCONVER~ TO DJ~.:I,I,, ADD l..r:iW MASTEROEDOK f~ i:.,,-, H & {;ARA!;iL
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<br />OOi,!ALD E.. L,.iI:]I:t:OL, IEy.¢ bAR:lO1,[ .Ob!l, ( BJ::LD'¢.i',I;. OF';rlC:[AL / t~Y
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<br />FORM # MC 15-56 REV. 4/90 0 F FICE COPY
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