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MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG. NO. 225
<br />920 HIGH STREET NE
<br /> SALEM, OREGON 97301
<br />
<br /> PHONE 588-5147
<br />CODE-A-PHONE 4:30 P.M. - 8:00 A.M.
<br />
<br /> of a registered builder.
<br />
<br />DATE: 62/i'~/S8 TIME:
<br /> ,, ~AIV:E,~R,~, DAVID
<br />
<br />CONSTRUCTION TYPE:
<br />
<br />: CA'fE (30 ~Y:
<br />
<br />~W :rwSV ! i_LE OR: 97:32,,5
<br />
<br />'~ OCCUPANT LOAD:
<br />
<br /> NO 0¢ gEDR00MS:
<br />
<br />MAll. lNG ADDRESS:
<br />
<br /> '~ANE
<br />
<br /> PHONE: '749 -2/. 0 'l
<br />
<br />LOT: : [:J LOC KI
<br />WIDTH: DEPTH;
<br />
<br />AREA:
<br />
<br /> r SITE NUIVIB ER: 3~83
<br /> ' VALL, A , TON
<br />
<br /> IToWNSHIP; '1 RANGE: i Z0N~;
<br />24 8S ~ 2(4
<br /> ,~ U~l~; ,ii IR"EG. gOT: NO ~ COR~;[
<br />
<br />MAR;
<br />
<br />TYPE: M~-CHAN ICAL.
<br />
<br />,.BAMB,,,.R.,~, DA',/
<br />:SA~f-;!
<br />
<br />OOMES'T';C WOO0 STQVE
<br />MF%HAN}'CAL BASE FEE
<br />~LEE:T SURCHARGE -ZONE 3
<br />MECHANICAL S'"'A'TE SURCHARGE
<br />
<br />PERMIT OR APPLICATION NO: 6691
<br />
<br />QUANTITY
<br />
<br />PAYE'E:: CHAMBERS,
<br />,RE(..E.~V:',0 BY: JB
<br />
<br /> ~OTAL A~ESSE~)~EES
<br /> vicus
<br /> THIS RECEIPT :,
<br />
<br /> BALANCE DUE
<br /> ,,,i~VOZCE: NO:
<br />BAVID - r-,~'~- , ,
<br />
<br />AMC)LJNT
<br /> $ . 5 3
<br />
<br />S22.22
<br /> $ 3. '
<br />
<br />* THIS IS A VALID PERMIT ~ THIS: :PEF~I;TT EXPI'i~E~ !~$0;,~9~:F~TS I.S..SLIE DATE.
<br />CONSTRUCTION CEASES FOR A PER'[OB OF ~;180,,,DAY~?:iOR, :'rP/~STRBOTION FAILS TO MEET ALL
<br />REQUIREMENTS OF STATE tANS ANB I~,ARION CCOI'41*Y "8UILOIN~,,AND ZONING ORDINANCF_..~, THIS PEF~IT
<br />SHALL BECOME NULL AND VOID. '; :
<br />
<br />..... ',,,G ...... WOOOL BY,
<br />
<br /> u~,. ,tO.AL ~y
<br />,'%",~ON ..... L,N, f B,-.,~,m.-,~NG /
<br />
<br />~-~'~.M ,~ Mc .~.~;~ .EV ~r OFFICE COPY
<br />
<br />
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