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MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG, NO, 225
<br />220 HIGH STREET NE
<br /> SALEM, OREGON 97301
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<br /> PHONE: 588-5147 8:00 - 4:30
<br />24 HOUR CODE-A-PHONE: 588-7904
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<br />[ am a registered builder OR the authorized representative
<br />The work will be berforrned by a degistered builder.
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<br />ADDRESS'. ~ CONSdRUC~ION'iYP~;
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<br /> ,.,,,~"~,, c~ ,,,b ..... ,. ,~ ,] . ]{)R "-- ,%~ ! CONTRACT CITY; i OCCUPANT LOAD:
<br /> AUHSVZLM:< OR 9732'5 ~U~;V):L.[_E ~NO ,
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<br /> ~ SITE NU~ER=
<br /> PHOi',~H; [ VALUATZON~
<br />
<br />TYPE: PiAHUFACTUREI) STRUCTURE
<br />COl [ f I. ,L l'[Ik., NCh.
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<br />79JJ ,.QU. Idd,.~ h..~__ .
<br />~A* ,~.'., t~ 97396
<br />tH( NE: ;~7b-8234
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<br />PERMIT OR APPLICAT~BN NO: 58823
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<br />HAle, O!, ACTI,H'.'F.D ,C,,'I'FdJf;'ILIRE Pt ¢,',CCMENT/COI.IkEC'/:[OI,[
<br />i~A!,IUFAC't'URE;D STI:;'UdTURE STATE FEE
<br />"~ANUFAL't'i'UF;:ED STRUCTURE STALE SURCHAF..'G'.E
<br />
<br />TOIAL ASSEooE. D FEES
<br />PB:EV:}:OUS Ri.'.% F Z F~T8
<br />TH]rS ,,~.C~,..i! I
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<br />QUANI'ZTY
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<br />A?tOUNT
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<br /> $9. :!.~
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<br />$211. t0
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<br /> :W~.,.. INVOICE:
<br />~:,'¢':(.'.'l' '[Vk';f) B"(~, dl'l .......................................... . ....................... TYPE: G~:CK '~,: 8
<br />~.!* THIS 'rS A VALID PERMIT ** THIS, PERMIT FEE COVERS ONE ,TNSPECTION AND ONE
<br />~;EZNSPECTION. ALL BLOCI(ING~ STAIR INSTALLATION, PLUMBING~ MECNANZCAL~ AND ELECTRICAL
<br />£,ONNECT~ONS ARE REQ[J~RED TO BE COMPLETe,UPON ~QUEST FOR THE FIRST INSPECT~OH~ IF
<br />~NY OF THE ITEMS ARE INCOMPLETE, AN A~ITI~NAL iHSPECTZON FEE WILL BE REQUIRED.
<br />F'ER~IT IS VALID FOR SIX MONTHS OHIO. ,RENEWED FOR 6 .MONTHS UPON WRITTEN REQUEST FOR
<br />A~_,_rXY[MSI~N~. PRI~R TO THE [XPIRA~IDM DATE DF 'THE PERMIT. IF CONSTRUCTION FAILS TO
<br />fl~hT. . AIl,,. REDUIREMENTS DF STATE LAWS AND MARION: COUNTY BUILDING AND Z0NING ORDINANCES
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<br />SE'T'BACKS: FR :LB
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<br /> RS-t5
<br /> RR'-i5
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<br />., .I ;Z,, i~,i:)¢)'~I.!:.Y¥ /qAF,:TO!'I COUNTY I:?,UIL. D]:N?. '.~F'F:'T'C.';'AI_ / BY
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<br /> OFFICE COPY
<br />FORM # MC 1 $-66 REV,
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