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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 HOUR CODE-A-PHONE: 588-7904 <br /> <br />of a registered builder, <br />The work will be performed by a re§istered builder, <br />Other_ <br /> <br />I have read and agree to the terms stated on the reverse side of <br />this document, <br /> <br />( OW NE'R'. TAX LOT: <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION HO: <br /> <br /> ]. 1' E K <br />BU Z L,D,[I,!G F'E I~,; <br /> <br />ZcU.I:4,,I)i~.I~X; STATE SIJRCHA,%E <br /> <br /> ~804t <br /> <br />A~¢-,. ,...~ ,..C ,/I=NE, I.I IEI~R~ , IO <br /> <br />I'()~AL ASS~S~'EI) FEES <br />PRE%.OUS ~EC:,I. TS <br />THIS RE'CE; I f:'T <br /> <br />DUE <br /> <br />G~UANTITY <br /> <br />A H 0 LJ I,["¢' <br /> SSS. <br /> <br /> $ ] ,, 9 :'{ <br /> <br /> ¢65.4.:., <br /> $65,. 46 <br /> $I~,, ~,:',! <br /> <br /> RECE;I:V!E9 DY~ DF:' TYF:'E: Ci-,~CK ,~,:: 0 <br /> <br />* THIS ZS A VALID PERMIT. THIS P~RNIT EXPIRES 188 DAYS FROM ITS ISSUE DATE, IF <br />CONSTRUCTION CEASES FOR A PERIOD;OF 188.DAYS~.OR IF CONSTRUCTION FAILS TO MEET ALL~ <br /> EgO~REMENTS OF STATE LAWS AN~ MARION COONTY BUILDING AND ZONIN~ ORBINANC~S, THIS FER~IT <br /> A.L. BECOME NULL AND VOID, ; ' <br /> <br />OFFICE COPY <br /> <br /> <br />