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MARION COUNTY BUILDING I~$PBCTION <br />COMMUNITY DBVBLOPMENT C~NTBR <br />285 C~umh St NE · Room I32 <br />salem. OR 97301 <br /> <br /> :14 Hr Ia~p~atioo. <br />Officm 588-$147 8:00 <br /> FAX: <br /> <br />~L. 0MBING PERMIT APPklOATION .... fi <br />Please complete all Sections, I through 5 <br /> <br />~%^~, q~809 2nd Street NE <br /> Aurora ..g~. I ~k ~ain St <br /> <br />~o~i.zd~ l-5 to Aurora Exit~ Ehlen <br /> <br />Rd. to Main St., left on 2nd St. <br /> <br /> WOR, K IS SUSPENDED FOP. 18o DAYS. <br /> <br />~ COIq'TI~%.CTOR ENSTAi. LATION ONLY <br /> <br />O)~,t~r Canby Piumbin~ I Pl~onc <br /> <br />PERM/TS ARE NON-TRANSFERABLE AND ~XPIF3g LF WORK IS NOT <br /> STARTED ~ 180 DAYS OF ISSUANCE UP. IF <br /> <br />Mailh,gAdd~ 805'NE 4th Avenue <br /> <br />Canby, OR <br /> <br />Fwpeny Ownee <br /> <br />PLAN RE'VIEW 8BCTION <br /> <br />Marl?. County does not require a plan r.?iew_ <br />We wdl provide plan review service iff6u complete <br />Section 5B and ~ubmk two (2) sets of ptar~ and <br />~pecff~cauoas w,th this appheauon. <br /> <br /> ECEIVE <br />PERMIT NO: <br /> <br />Date: 1 6 1995 <br /> <br />o'r'fl~P. Ot~ re.q~dred b,v 03P$C <br /> and l~nildln.g Ot~dal) <br /> <br />DWELLING PBR.MIT LABEL <br /> <br />5. FEllS <br /> A 1. Enter lotat of fce~ from $~., <br /> A~ Add 5% su~l~ir~¢ (,03 x Al) <br /> <br /> <br />