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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: $88-5147 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 />this document, <br /> <br />; ;R E,c'J:I:DENT:[ AL <br />, S TU ADDRESS; CONSTRUCTION TYPE: · OCCUPANCY: <br /> <br /> LOAD: <br /> <br /> DI': ~ ~[ <br /> <br /> 4It9 SCH~FER <br /> ~AI.,E~ OR <br /> <br /> r <br /> <br />.............. 0 .................... ~,00 ....... .10,900 .....~..I- _ ......... l_~O .... hO <br /> <br /> nRCHZTECT/EN6:I:NEER, g~, ~~ <br /> <br />CONTF<Af:;'TOR,~ NO. <br />AL.L]:ES, ROSE H <br />4119 SCHAF'¢.'R AY HE <br />SALE~ OR <br />PHONE: ;593,-.5836 <br /> <br /> ]: T E N <br />~.~U I I._D.[ ~'IG FEE; <br />PLAN REV.'(FW <br />8UIt_.~[NI; STATE SURCHARG£ <br /> <br />PAYEE: <br /> <br />[4ALAi',IOE DIJE $0. <br /> <br /> RECEIVEI) BY: ~)H .................... TYPE: CHECK :l:: 0 <br />~ fNI~ IS A VALID PERMIT. THI$iPERHIT EXPIRES 188 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS~ OR IF ,CONSTRUCTION FAILS TO flEET ALL <br />EQUIREMENTS OF STATE LA~SAN~ ~ARiON COUNTY BUiLi)ING AND ZONING ORDINANCES, THIS <br /> ALL DECO~E NULL AND VOID. , <br /> <br /> HEIGHT: SE'FBAI;M~ F'F~' <br /> TOTAL SLl FT." 0 L,,S'" 5 <br />!!:NZRGY F'At'H: STOR;[ES: R'<"'"'~ ,. <br /> : PCAIq~ ACTION~ RIR'-].5 <br /> ENERGY PATH=, 91'%] .......... <br /> <br /> , ,: : <br /> <br /> OFFICE COPY <br />FORM # MC 1 ~-~ REV, 4/~ <br /> <br /> <br />