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MARION COUNTY BUILDING INSPECTION
<br />S~:NATOR BLDG, NO. 225
<br />220 HIGH STREET NE
<br /> SALEM, OREGON 97301
<br />
<br /> PHONE: 568-5147 8:00 - 4:30
<br />24 HOUR CODE-A-PHONE: 588-7904
<br />
<br />I am performing wobk On a property I own or oocuby,
<br />lam~reglsteredbullderOR( )theauthorlzedrepresentative
<br />of a regi81ered builder,
<br />The work will be performed by a registered builder,
<br />Other
<br />
<br />'OWNE~'I)(I T I:: '.~ ~I?/26/P4 I .[.~;.~ ~,~,t .t. 7= ~ [ TAX LOT OAT~ORY
<br />
<br /> S~U~ ~[~'l ~ ~]:l...t..:~ ' ~ "& ',]~A~'~TTE i CONSTRUCTION TYPE: ,
<br />
<br /> ..... ~ ..... ,,~_ :-,]~-~ ......... ?' .'. ...... ] L _ ,
<br /> b~ b~ ~dC~~)l'i:E QR ~7:~ ~tON ~Q~4~Y NO NO. o~ ~EO~OO~S
<br />
<br />TYPE: BUILI)IN6 PERMIT OR APPLICATII]N NO:
<br />
<br />CON rRAC'roR., ],lO.
<br />STUPFE]...,, WzI...I...].Ab J,, & ,JEANET
<br />
<br /> 56381
<br />ARCHTTECT/ENGINEER~ NO.
<br />
<br /> ; ~' 'L1~92 PHONE:
<br />PHONE.' %~9-..
<br />
<br /> ITEH
<br />8UII,,DINC, FEE
<br />PI.AN RE'V]:EW
<br />BU:£LD;[N(; STA'f'tE SURCI-IARGE
<br />ZOI4J big SLJRCHAR£;E
<br />
<br />TOTAL, ASSESSED
<br />PREVIOUS RECE TIr'l'S
<br />I'H,}:S,~ 'RECEIPT
<br />BALANCE I)UE
<br />
<br />BUANTITY
<br />
<br />AMOUNT
<br />
<br /> $56,, 23
<br />
<br />$0,00
<br />
<br /> ~AY ....
<br /> REf;I~.J:V[J.D BY: DH .............................................. TYPE','. CHF'CK
<br />
<br />~ TNIS IS A VALI~ PER~IT, ,'TBI~ PERHIT EXPIRES 18~ ~AYS FROM ITS ISSUE DATE. iF
<br />COflST~OCTIOH CEASES FOR A PEEIGD OF,:i'88,,BAYSp OR IF CONSTRUCTION FAILS TO EEET ALL
<br />EQUIRE~ENTS 0¢ STATE LAWS ~,tARIO" 681JITY BOlL~N6 AND ZONINS QRDiNANCES~ TH~S PERMIT
<br /> ALL BECOME NULL AH~ VOI~. ' ,
<br />
<br /> HEIGHT: t5 SETBACKS= FR-
<br /> ' ' IOTAL c~[~ ,FT: ~,152 LS-6
<br /> ,- i--~
<br /> F'..I I",F~S/ PATH: STORIES: 1 RS..'.
<br /> PLAN,, ¢CTZON.
<br /> ENEk[,Y P~'D'h SI'" . ....
<br />
<br /> ,'~-:'4¢~1'"'<~"~ POLE 2~LOG
<br />
<br /> i~OHh, i..]) ~:,, W[U'JT)LEY~ H~RTOI4 ;8~ NTY ~U]I.g'ENG 'OFFLC ~'~ ' / BY .......................................................................................
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<br />OFF~CE COPY
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