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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 /> am performing work on a property I own or occupy. <br />~¢' I am a registered builder OR the au horized rep esen ave SIGNATURE OF APPLICANT: <br /> of a registered builder, <br /> The work will be performed by a registered builder· <br /> <br /> t,JILLIA~,:~ [IHOFH¥ ,~ Ii~ES](;OENTZAL <br />: 10348 I;l"lh~POE6 rkl) NE ~ ~N~RACT CITY: <br /> <br />'TYPE: BUIL,I)IN~ PERMIT OR APPLICATIQN NO: <br /> <br />CCfl,!l I~AC'f'OR,, NO. 42185 <br /> BC; Ar~der':~on Cons't;ruct~,on In <br />:[1~8 Ventur,~ N <br /> <br />PHONE: ~93-"629S <br /> <br /> I'FEN <br />BIJILDIN6 FEE <br />PLAN REVIEW <br />BU'[L.~IN6 STATE SURCHARGE <br /> <br />ARCNI'f'ECT/ENt~ I NEER~ II0. <br /> <br />PH8NE: <br /> <br />TOTAL ASSESSED FEES <br />PRE VI08S RECEIPTS <br />TNI,S RECE~I~T <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $50.50 <br /> <br /> $2.53 <br /> <br /> $0.00 <br />$85,. 86 <br /> <br />$0.. <br /> <br /> ,,,.A,~, E,, l~6 Ands:t ~l~st~ uctzon I ~c ~-~ .... <br /> L. IVED DY,, ~B ~,-, ........ <br /> <br />$ THZS IS A VALID P[RHIT. THiS PER~iT EXPIRES 188 D~YS FROM iTS ISSUE ~ATE. <br />CONSTRUCTION CEASES FOR A PERIOD OF 188 DAYS~ OR IF CONSTRUCTION FAILS TO MEET A~ <br /> E~UIREHENTS OF STATE LAWS :AND ~ARIQN COUNTY BUILDING AN~ ZONING ORDINANCES, THI~ PERMIT <br /> ALE BE~O~E NULL AND VOI~. <br /> <br />ROOF' OVER MS <br />WOODLEY,~ <br /> <br />t:::l I1:~ RI,~ ~ PATH,': <br />D(]HALD El. <br /> <br />HEICHT: ~2 <br />TOTAL $0 FT. <br />PLAN. ACTiON: <br />ENERGY PAYN: <br /> <br />MARION COUNTY BU;[I_~)ING OF'FI[iIAL <br /> <br />BY <br /> <br />0 SETBACKS FF / <br /> I_S"'/ <br /> RS""/ <br /> MR'"/ <br /> SP <br /> <br />OFFICE COPY <br /> <br /> <br />