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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 />of a registered builder,
<br />The work will be performed by a registered builder,
<br />Other
<br />
<br />SIGNATURE OF APPLICANT:
<br /> DATE:
<br />
<br />, ¢~8-~58~-~; ................................................ OS'~S~RUCT~QN TYPE ' OCCUPANCY:
<br />
<br />,,,CH( OL, Aiq;O OTH!TF~ EDUC~T.]:ONAL ~U]L.D:J'NBE
<br />
<br />SITE NUMBER: 94-83237
<br />VfiLUATTON.' $ 7;3,~ 944,, 00
<br />
<br />TYPE: BUILDING PERMIT OR APPLICATION MO=
<br />
<br /> :f
<br />E~U.{ L.D T.I,IG I." I!._' E
<br />F'I AN REVJ, EW
<br />BUII,.D'~:N{; 8'TATE !.~URCHARI;E
<br />
<br /> 57491
<br />
<br />A,'~CH], FCC l/El IG It h:,l.-,R~
<br />
<br />PHONE:
<br />
<br />NO.
<br />
<br />(]UANTITY
<br />
<br />AHOUifl'
<br />
<br /> $2;~/i),, ;75
<br /> $1 ? ,. 75
<br />
<br /> lOrAL ASaE,3:~ED F'EES
<br /> THIO RECE;[F'T
<br /> ~ALANCE DUE $~,.
<br /> PAYE, f~,: McGilchtJs-~ & S(?m Roofi~ Co..[~:
<br /> ~,.,¢,E.[V .D BY~ F'M 'TYPE;I IN CHECK ~::
<br />* THIS IS A VALID PERMIT, THIS PERMIT EXPIRES 18~ DAYS FROM ITS ISSUE DATE.
<br />CONSTRUCTIO~ CEASES FOR A .PE~IOD'OF 18~ DAYS~ CE IF CONSTRUCTION FAILS TO MEET ALL
<br /> EQUIREMENTS OF STATE LAWS'AND ~RION' COUNTY BBIL9IHG AND ZONIH~ ORDINANCES, THIS F'ER~TT
<br /> ALL BECOME NULL AND VOID. , :
<br />
<br />?.';E'f':SACKS: F'R /
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<br /> TflTAL Si? FT'-'
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<br /> ::PLAH. ACTI OI;hf
<br /> ENERGY PATH,-,
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<br />
<br />Yh')~,?:..~) ::;., W{.iSD!._~Y¢ HAR:~ON COUN'fY ~u~'L:~l,l~; [H~FICIAL, / BY
<br />
<br /> OFFICE COPY
<br />FORM # MC 15-58 REV.
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