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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 HOUB CODE-A-PHONE: 588-7904 <br /> <br />of a regiEfered bu Ider, <br />The work win be performed by a registered builder. <br />Ot~er <br /> <br />I ,' ¢~*/' .... .,.A4 ,l:-~l h' ': '..',., i rt:'Fs'r DENTI AL <br /> <br />AREA'. UNITS; i RREG. LOT: OORNER <br /> <br />TYPE: MANUFACTURED STRUCTURE PERMIT OR APPLICATION <br /> <br />,,~a 1~,b <br /> <br />~"[~i,!Lli;"A C T U R E D UTRUC'¥ URE <br />:MANUFACTURE~ S]'RUC'~'UR~: STAT~.': <br /> <br /> PREVIOUS RECEIPTS <br /> : : TH;S RECEIPT <br /> <br /> ~ ~;t~-,', <br /> <br />~ 28,, 00 <br /> <br />** THIS IS A VALI~ PER~IT:*~ ~HIS 'PER~IT FEE, C~VERS O~ I~SPECTIOH AND ONE <br /> <br />AIrY OF THE ITEMS ARE WILL BE REQUIRED. <br />¢'~RH~T ts VAt_I~ FOR SIX MONTHS ON~.,:;:::EENEWE9 EOf( ~,NOHTHS UPON W~ITTEW REQUEST FOR <br />A~ EXTEHB[O~I, PRIGR TO THE PER~IT'. IF C~NST~UCTIOH FAILS TO <br />MEET ALL REQUIREMENTS OF <br /> <br />OFF~CE COPY <br /> <br /> <br />