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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 />I am berforrl/in9 work on aproperty I own or occupy. <br />I am 8 registered builder OR the authorized rebresentatlve <br />of a registered builder, <br />?he NOd< will be pedorr~ed by a registered builder. <br />Other <br /> <br />this document, <br /> <br />dwNsR; TAX t. Of; ', 8ATE~}RYi <br />~ S TUS ADDRESS; ~ CONSTRUCTION TYP~: ~ O00UPANCY: <br /> <br /> ~'?' '"~ , , SE <br />~ , , ~ ~' ] ::'~;(J~ ~(~ ~ CONTRACT CITY: , uee; ~ OCCUPANT LOAD: <br /> <br /> SITE NUMBER: <br /> VALUATION,', <br /> <br />SECTION TOWNSHIP; RANGE; ZONE ' MAP: <br /> <br />TYPE.' MANUFACTUREB STRUCTURE <br /> <br />d~!"' )ih ' ' <br />S,-'~ Hi.. <br /> <br />i,01 <br /> <br />PERMIT OR APPLICATION NO: 57549 <br /> <br />£~LIANT Z TY <br /> <br />,} .,. 6,, -'..") <br />~226, <br /> <br />, 1.L] , Vt.,( BY:~ DI: TYPE: CHECK ~lul <br /> <br /> ' I ALL BLOCKING~ STAI~ INSTALLATION. PLUMBING, MECHANICAL. AN~ ELECTRICA <br />CONNECTIONS ARE REQOIREB TO BE 8QCPLETE~ MPQN ~E~UECT FOR THE PIRCT I~CPECTION. <br />AH~ OF THE ITEHS ARE INCOMPLETE. AN AQBITIbNAL INSPECTION FEE WILL BE REQUIREB~ <br />PEkMIT IS VALI~ FOR SIX HOWTH~ ONLY. ~ENEWED FOR ~ MONTH~ UPON WRITTEN REQUES~ FOR <br />A~ EXTENSION. P~iOR TO T~E EXPIRATION DATE OF THE PERMIT. IF CONSTROCTION FAILS <br />~4EEI' AEL REQUiREMEnTS OF :STATE LA~S AND MARION COUNTY 9UIL~I~6 A~ ZONING <br /> <br /> LS'":L8 <br /> -4,~ <br /> <br /> ~. ¢;,R ~;['f?'i NEW 3 IOR P~t..;,, <br /> <br /> OFFICE COPY <br />FORM # MO 15.56 REV. 4¢80 <br /> <br /> <br />