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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 performing work on a property I own or occupy, <br />I am ~ registered builder OR the authorized represen 8 ire <br /> of a registered builder. <br />The work will be performed by a registered builder, <br />Other, , <br /> <br />i : TAX LOt: i CA'rE~OkYi <br /> <br />~ TUS ADDRESS: '. CONStrUCTION TYPE: ;OCCUPANCY: <br /> <br /> SZTE NUMBER: 94-B3281 <br /> <br />TYPE; <br /> <br />PERMIT OR APE'LICATION NO: <br /> <br /> ITE/~ <br /> <br />BU'P..DI:I,t(; STATE SI.JRCHAR~;K <br />ZONING SURCH(~RI:;E <br /> <br />PHONE= <br /> <br />~O'FAI,. ASSESSED F'~ES <br />PRC ¥i((t IS ~EOEIP-I'S <br /> <br />Q UAN'T']: T Y <br /> <br />$?8. S~}) <br />~64., ,~;3' <br /> <br /> $.4 ,. 9S <br /> <br />$175! ,, :39 <br /> <br /> RF. CE :FV ,:,D BY;; de~ -,-'.;c:, :',, .-,- - <br /> * ,IH,Ia' THIS PERMIT EXPIRES 188 DAYS FROH ITS ISSUE DATE. <br />gl. S' RUCTION.. r.-, CF~ASES~ FOR A PERIOD', ,OF' &80 DAYS,_ OR IF , gOHSTRUCTIQN FAILS TO MEET ALL <br />9JI,~Ed,..~TS 0¢ S~ATE LAWS AND ~RTQN COUWTY BU~I ~IN6 ANB ZONING ORDINANCES, THTS <br /> ALL BECOME NULL AND VSID. ' .... <br /> <br />OFFICE COPY <br /> <br /> <br />