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N COUNTY ;UILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br /> 220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br />PHONE: 588-5147 8:00 - 4:90 <br />HOUR CODE-A-PHONE: 588-7904 <br /> <br /> Other <br /> I,b~vl~ read &nd,aQre~p the ter~,s~t,e,d o%t,,he ~,,v~r~e side of DATE: <br /> <br /> tURt,,LY~ ~.JrNL COMMERCIAL <br />~ ] TAX LOT'. ~ ~ATE~O~Y; <br /> <br />~i~g~ ~b~E~" '~-~'~' FCJF~ES~ ~'J' ~.,, ~ CONSTRUCT ON TYPE: <br /> <br /> ~J F'TRQI'F : S~TE HUNBE~: 94-~4248 <br /> I I.)Hc.~ 8,, ~ S~33 ~ ........... ~Af:~AT~J~BN: ..................... <br /> <br /> I'fE;;4 <br />APDll'IONAL P[..UMB]ZNG I:EE{~ <br />F'L.U~F;,t:I,If', BASE FEE <br />I::'LLIHB:[N(; BTA'f'E SURCHAR~,E <br /> <br />PEE~ ],OL;S RECEIPTS <br />I'HZS RECEZPT <br /> <br />BALANCE DUE <br /> <br />QUANTI'.TY AMOUNT <br /> 1 $4,. <br /> $2t4.0¢ <br /> <br />$25.73 <br /> $~ ,, ~'~ <br />~1~25 ,, 7S <br /> <br /> f-AY~,i.,, '(' (; Ni,zhol F'~,uMbi'nti Inc IlqVOllCE <br /> RI~'C[.IVEI) BY: [;'~ TYPE: <br /> <br /> * TH~S IS A VALIB PERMIT THIS PERMiT:EXPIRES i88 BAYS FROM ITS ISSUE DATE. IF <br />EGUIREMENTS OF STATE LA~S AND HgRION COUNTY BUI'LDIH~ AND ZONING ORDINANCES~ THIS PERMIT <br />ALL BECOHE NULL AN~ VOID; <br /> <br /> ,~E,,HARkS~ BId-LO DEV:rCE ,:. LAKE DETROIT HARKEI <br /> <br /> J)ONALI) ...... ': WOOI)L. EY, HARION t.,DUNZY ~U~I..~IN~ IAL BY <br /> <br />~QRM # MC 15-56 RB"V, 4/gO OFFICE COPY <br /> <br /> <br />