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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 /> T)(ITI/.". 1;!/07/74 , ,[,T,~E ~ 1.~_~OB ..~3 <br /> <br /> ~UNSV:[LI..E OR Y7725 ~TC~NTY N~a: OCCUPANT <br /> <br />.......................................................................................................... ; ~F 8EOROOMS: <br />USE OF aU~, ,- <br /> oz~.,~.~. FAMILY DWELLINGS <br /> <br /> ' <br /> <br /> ~ ~ITE HUMBer: ~4-84~11 <br /> PHONE: 747-1588 <br /> ; VALUATION: ~,, 8~ <br /> <br /> ~ ' I. ] ~s 2w ¢SFU <br /> <br />TYPE: BUILI)ING PERHIT OR APPLICATION HOt, <br /> <br />CONTRACTOR~ NO. 59700 <br /> ~a).es ~e~mde,lJ. ng I~c <br /> <br />F'HOHE: 778-7~89 <br /> <br /> ITEM <br />A~)DITIONAI_ BUZLI)ING FEES <br /> <br /> ~B163 <br />A~CHITEC'f/ENGI N .ERR ~ NO. <br /> <br />TOTAL ASSESSES FEES <br />FREVIOUS RECEIPTS <br />THIS RECEIPI <br /> <br />QUAN'I'ITY ANOUNT <br /> <br /> !1~0 ,, 00 <br />$?2. !50 <br /> <br />BAL. AHCE DUE $0.00 <br /> <br />PAYE:E: Dales Re~mdeling In~: 42765 <br />I~ECI_,IVED Y. ,,~ TYPE.' CK ~HECK 4:: 7594 <br />......................... · _-: :::::::::::::::::::::::::::::::: .................................................................................. <br /> ~ THIS IS A VALII) PERMIT. TNIS'PERM)T EX~IRES 18~ nAYS FROM ITS ISSUE DATE. IF <br /> <br /> ALL BECOHE NULL AND VOI~. <br /> <br />ENERGY PATN: <br /> <br />EE.~AMxS. STOP WI)RK~ S'rARTEQ W/O PERMIT <br /> <br />HEIGHT: SETBACKS: FR .......... <br />TOTAL SQ FT." 0 L.S <br />STORIES: RS ........... <br />PLAN. ACTION: RR ........... <br />ENERGY PATH: ~F':i:~i~ <br /> <br />DOhih)_.~ L":,, WOOPLEY,~ MARION COUNTY BUILDING OFFICIAL / BY ................................................... <br /> <br /> <br />