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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STR .6',..~T NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8;00 - 4;30 <br /> 24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />SIGNATURE OF APPLICANT <br /> <br />S~fUS ADDRESS <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYPE <br /> <br />4,05 <br /> <br /> ~469J r,_}f I'AI,4AY RD Nb <br /> At.~i.:(.)R,a (iR 9'/U02 <br />USE OF BUILDING <br /> <br /> OONTI~ACT CITY <br /> <br />AU RQ RA <br /> <br />SUBDIVISION <br /> <br />LOT BLOCK <br /> <br /> SI TR.. NUIV!Bb.R; <br /> VALU,~, ! iON, <br /> <br />AREA UNITS IRREG ~,OT ,CORNER <br /> 53882'¢. 5F NO ND <br /> <br /> P'.N"41 f OR A',~PL ICA I tON NO' <br /> <br />'/ 14 1 <br /> <br />:0~ L A~SESSBD <br />PREVIOUS <br />THiS R~CBiPT <br /> <br />:.~UAN ~ i f Y Ait~OLIN / <br /> b $4 ¥_ ,-'0 <br /> / 2 8. t 0 <br /> <br />$C}. JO <br /> <br />DUE <br /> <br />iNVOiCe NO; ¢552'5 <br /> <br /> ~[::(2:iVELi b¢ mi !YPE: IN CHECK ~: U <br /> <br />~ IHI5 iS A VALID PER~iT * THIS PER, iT EXPIRE~S 180 DAY5 FRC~I ITS 15~ DATE. IF <br />CONSTRUCTION CECLS~ FOR A PERIOD OF 180 DAYS. OR IF CONSTRUCTION FAILS TO ~E~ ALL <br />REQU[R~N;5 OF STATE LA~S AND ~IARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PER~i~ <br />5~ALL BECO~IE NULL AND VOID_ <br /> <br />,,,AN LL) ~YO(.)DL~Y, <br /> <br />H,aRiON COLNTY ~UfLDING OE~-iClaL / ~Y <br /> <br />FOR~ t~ MC 15-56 REV 4/~0 OFFICE COPY <br /> <br /> <br />