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MARION COUNTY BUILDING INSPECTION <br />SENATOR BL"DG, 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 />The work will be performed by a registered builder, <br />Other__ <br /> <br />TAX LOT: <br /> <br />STTE NLJM~ER= 74-r~S143 <br />VAL,~A ¥ I ON ~ $ 7,, '776,, 0(?) <br /> <br /> MAP: <br />................... , .......................... ;~.--,L~ ...................~3..~ ......................... ~ ..................... ~..... ',' N~_ .........:2 :, <br /> <br />TYPE'; <br /> <br />CON'~RACTOR, <br /> <br />4932 KaLE <br />SAI_EM~ <br /> <br /> :~; TEN <br /> <br />}~LJI[..D:rN¢ STA'FF: SURC:L~AR~;E <br /> <br />?ERMIT 0t~ APPLICATION NO: 572~I <br /> ~r~Ch~ IECT/r-.'N ~INEER,, I,IO., <br /> <br />PHONE' <br /> <br />PREVIOUS RECEIPTS <br /> <br />$ 6 ~,J ,, 5 ¢!i <br />$ 4 .,'~ ,, 2%;; <br /> <br />$1:}.6.46 <br />$1.16,,46 <br /> <br /> [.d:::(,!.: ,/'¢!::$) BY, rh,~ .................... L-.~,~i::;J:g';:L.::;.z.-_~.,.__]:Z~;:.::!:i:!;;:2::,:~:::":'.:" TYPE:~ CHECK :i,: <br /> ............................................ '~--=.-F=- --~ ~- ............................................................................. <br />THIS IS A VALI9 EXPIRES 18~ SAYS FROM ITS ISSUE DATE. <br />CONSTRUCTION CEASES FORA D~YS~ OR IF CONSTRUCTION FA[LS TO MEET <br /> Egg[REfl~TS OF STATE L~WS AND H~R[DN CO~H~Zy ~UILgIN6 AN~ ZONIH~ O~DINANCES~ THiS PER,~IT <br /> ~.-L ~EC~HE ~ULL AN9 VOI~' : <br /> <br /> : .=,., · .... <br /> : ::~ '(OI'~L Sr~ ~',"r: 864 <br /> <br /> :' PLAN, ACTt~¢N: RE' '8 <br /> ENERGY PATH; ~ S,":: ~ <br /> ',:kC~H~:fl'::Kf~h: A ) ~ TO FX;;:ST):~qG POLE <br /> <br />FORM # MC 15-56 REV, 4/9o 0 F F <br /> <br /> <br />