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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG, NO, <br /> 220 HIGH STREET NE <br /> SALEM, OREGON 9'7301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />i~ S~TUS A~[~= ....................... I[ CONSTRUCTION TYPE; ]OCCUPANCY; <br /> <br />TYP~- BUIL~)t~ PE,R~IT OR APPLICATION <br /> <br />P. ,0(,~ .... <br /> <br />TOTAL ASSESSED PEES <br />F R::.V1QUS <br />THIS <br /> <br />(~ LIAN'I" !: TY <br /> <br />$ ',:'~ 6 ,, 5';'; <br /> <br /> A VAL~ PE~. TH~S PE~IT EXPXRES ~8~ ~AYS ~RO~ ~TS ~SSUE DATE, ~F <br /> CEASES FO~ A PERIOD OF 188 BAYS, 'OR IF CONSTRUCTION FALLS TO ~IEET ALL <br /> OF STATE LA~S AN~ ~ARION COUNTY BU~L~IN6 AND ZONZN~ OE~INAN~ES~ THIS PERmiT '~, <br /> <br /> UTAL S~ IT. 8 ,,. <br />bATkh~ STOFC~ES~ ~.',~.) ....... <br /> <br /> I..,NI .h(,Y PATH: <br /> <br />OFFICE COP"~ <br /> <br /> <br />