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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 9'7301 <br /> <br /> PHONE: 588-5147 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am performing work on a property I own or oooupy, <br />t am a registered builder O1~ the autl~orized representative <br /> of a deglstered builder, <br />The work will be performed by a registered builder. <br />Other <br /> <br />I have read and agree to the terms stated on tile reverse side of <br />this document. <br /> <br />OWNER E. ,, ~/I~/:i~7,/74 , ~' .............. L ........ ! TAX LOT. i~cATEGo'RY: <br /> <br /> 795r& S3Ci;'!FFr'!'~ C' <br /> 3 <br /> <br /> SZTE NU~ER= 94-~27~ <br /> ~t0 <br /> <br />TYF'F.; 0N,,,SI'i:E SENAF,,E <br /> <br />WA'!'FR S U'.:) I::'L Y <br /> HOLES R~:A:bY ~ <br /> EVALUAT]:0N NU~tBER: 4~i974 <br />EXISTZ146 TANK SIZE: <br />EY,}:STIhK; DRAZN F];ELb LtNES~ <br />SEF:'i'ZC TANK POHPEt): <br /> <br /> TOTAL ~SSESSIED FEES <br /> PRZV [UUS RECEIPTS $455,, <br /> <br /> THIS IS A VALID PER.{4I~ · THIS PERMIT EXPIRES ~8 DAYS FROM ITS ISSUE DATE, <br />COMS'~R.~CT¥ON FA;;I.,S FO :~ZEF ALL R ;QUIRF:;ME:NTS OF STATE LA~S AND MARION COUNTY ~?UZLDZKC3, <br />/.OUiMG ORDTNAJ~CES~ THiS F'EI.(~I'I' SHFfl L BECOME NULL AND VOID <br /> <br />OFFICE COPY <br /> <br /> <br />