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MARION COUNTY BUILDING INSPECTION <br />SENATOR S~,DG, NO. 225 <br />220 ~IIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: $88-7904 <br /> <br />of a registered builder. <br /> <br />Other <br /> <br /> :OA'IE." :i. 1/~'/r/4 T1ME.-. Z2:f¢8:4;L <br /> 3~5 MAIN ST .... <br /> <br /> MEF:RIFZELDS <br /> <br /> :~IAYTON 8R ~778; SITE NUHBER: <br /> <br />..... ~ ~ ~ <br /> <br />TYPE: BOll. DING PEANIT OR APPLICATION NO: <br /> <br /> ;f. 'I EN <br />I~U]:LD:[N6 FEE <br />Pi ,F,N REV1E. W <br />,rIl'E cLAN ?EVIS.~,~ I$LIZL~IN6 tNSPE:CT;[ON <br />BU:[I.D~NG SLATE Fi[JRCHARGE <br />ZOlg IN(; SURCHARGE <br /> <br /> 58715 <br />ARCHITECT/ENGiNEER,¢ NO,, <br /> <br />PHONE'.' <br /> <br />QUANTITY <br /> <br />TOTAL ASSESSED FEES <br />F,REVI~US RECEIPTS <br />THIS RECEIPT <br /> <br />AMOUNT <br /> $,t 28. ~JO <br /> <br /> $6,45 <br /> <br />ti~228.8? <br />¢228.8? <br /> $0.00 <br /> <br /> BALAHCE DUE ¢0.08 <br /> <br /> PAYEE: <br /> RECEIYE~) BY: DM ............................................................................ TYPE: CHECK 41:: ~ <br /> <br /> * THIS IS A VALTD PERHIT. THI~ PERH~T EXPIRES 180 DAYS F~ON ITS ISSUE ~ATE. IF <br />CONSTR~CTISN CEASES FOR A PERIUB OF 188 ~AYS~ ORIF CONSTRUCTION FAILS TO NEET ALL <br /> EGU~RENENTS OF STATE LAWS AND NARION COUNTY BUILDING AN~ ZONING ORBINANCES~ TN~S PERmiT <br /> ALL BEC~NE NULL AND VOID. <br /> <br /> oEItAE, K,.>., F'R 16 <br /> 'I'O:¥:AL 80 FT: ZZ4 I._S'"/ <br />PAI'H: STORIES: 1 RS'-'/ <br /> PL,.~I,t,, ACTIO,: <br /> ENERGY PATH: OF:' _ / <br /> <br />I:,:KHARKS;; AI)P TO RESTAURANT <br /> <br />~ORM # MC 15-56 REV. 4~90 OF FtC E COPY <br /> <br /> <br />