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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: S88-514'7 8:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />ct a registered builder, <br />The work will be performed by a registered builger. <br />Other. <br /> <br /> DA'rE; 11109194 TIHE: I2:r~8~:q9 <br /> <br /> ~ ............................... CONTRACT CITY: <br />uss o, eU,LO,~MSVll_LE OR ~7:~2L1 ~UMSVZLLE NO .NO O, ,EO~OO~S: <br /> <br /> NERR2FIEL, DS <br /> 1883 W. <br /> ST~Y'FOH OR ~7~8;~ SITE NU~BER: <br /> <br />WIDTH; ~O~PTH'. ~ AREA; UNITS~ ;~ IRREG. LOt~ DORMER: <br /> ~5~ 6 ~ ' 25 8S ~ 20 <br /> <br /> 75 JX~8 YES <br /> <br />TYPE: MECHANICAL PEEMIT OR APPLICATION NO: 58724 <br /> <br />EON'TRACt'OR,: Iq[),* 86151 <br />.!et-fy I~ Ca'~.es <br />FO Box 177 <br />M~.iI. 1 Cii'.'~.~ , 77:;~60--0000 <br />PHONE." 327-2471 <br /> <br /> :[ TEH <br />I)OltEBTIC RANGE H80I~ <br />MECHANICAL BASE'; FEE <br />MECHANICAL SLATE SIJRC, HARfiE <br /> <br />TOTAL ASSESSED FEES <br />F'F~EVIOUS RECEIPTS <br />TH,IS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> I $4.50 <br /> $10.00 <br /> $0..7~ <br /> <br />BALANCE I)UE $0,, 0~ <br /> <br /> PAYEE~, INVOICE NO: <br /> RFCEIVED ,QY:'. DM ............................................................. TYPE: CHL:ZCK ~: 0 <br /> <br />CONST~UCTISN CEASES FO~ A PER~OD ~F 180 D~YS~' OE IF CONSTRUCTION FAILS TO ~EET ALL <br />EDU~REHENTS OF STATE LAWS AND MARION COUNTY ,BUILDING AND ZONING ORdiNANCES. THIS PER~IT <br />Atg BECOHE NULL AND VOI~, <br /> <br /> t<EHARI(Ei: F<ANEd;; HO0~ <br /> <br />OFFICE COPY <br /> <br /> <br />