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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH 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 />l am a registered builder OR ( )theauthorlzedrepresentative <br />of a registered builder, <br /> <br />I have read and agree to the terms stated on the reverse side <br />this document. <br /> <br />CONSTRUCT ON TYPE: , OCbLJP~ CY; <br /> <br /> SITE H~MB/R: 94-81679 <br /> VALUATION: <br /> <br />TYPE: MECHANICAL PERNITORAPPLICAT%ON NO: 54592 <br /> <br />CO[~i~r;T,O.R,, ~tO, 07?4 <br />Lorem~ i,~ea~:J.~'l<:t & Sheet NetaI I <br />2355 Hy~c:i~th St <br /> <br />PI,.X)NE~ ~78- 7648 <br /> <br />TOTAL ASrcE.~¢c.D FEES <br />PRI'Z¥ I OU,,~ <br />THI~ RECEIPT <br /> <br />(~UANTtTY AMOUNT <br /> 1 <br /> <br />BAL. ANBE DUE $.~1,, f')[~ <br /> <br /> tAYE .. L.ort-:~ls He,4.1.':i. ng ~, ,:ti,eat Metal ~c ZNVO!C,E ,0 /,~6,, <br /> RECE'),VED BYe; XXX ....................................................................... TYPE: IN CHECK ~:~ e~ <br /> <br /> ~ THIS IS A VALI~ PERH~T ~ THIS PE~IT EXPZEES 188 ~AYS F~O~ ITS ISSUE ~ATE. IF <br />CONSTR~CTION CEASES FOR A PERIO~ OF [CB ~YS, OR IF CONSTRUCTION FAILS TO ~EET ALL <br /> <br /> ALL ~ECOHE NULL AND VOZ~. <br /> <br /> <br />