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MARION COUN'EY BLIJLDING INSPECTION
<br /> SENATOR ,BEDG. NO. 225
<br /> 220 'HIGH STREET NE
<br /> SALEM, OREGON 97301
<br />
<br /> . - PHONE 588-5147
<br /> CODE-A-PHONE 4:30 P.M. - 8:00 A.M.
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<br /> t am performing work on ~ property I own o? occupy, . PPL CANY' .........................
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<br /> it;~v~or~¢md88~t¢ agree to the torfos stated O. the reverse side of PATE ...................................................................
<br /> DATE= 10/,24/88 TIME= 3:41=.25,0 .... T~,~' Ldf: ....
<br />
<br />' DEVLIN, CHRIS J
<br /> SITUS ADDRESS ...... CONST~ij~:Fi'b'~"~'~E:~pE:"-'""'/ ......................... OCCUPANCY
<br /> ............................ .......
<br /> 270 KINN~ AVE
<br /> ....................... ~,,,...J__._....N L ' :
<br /> DET~T .... . OR 97342 D~ ...... O .......................... ~ '~-~ ~o~
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<br /> ~AILING ADD~E~" ,S~-N~L~ F~'ILY ~g~t'N~' 'su~: PA~ 2ND AD~
<br /> 376? ~ER~ NE .... / ....................................................................
<br /> KEIZER
<br /> ~E: 293-44S6 ~ S~TE NU~ERt 5650
<br /> / VA~ATI~ $22,215.00
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<br /> J
<br /> W,DT~' 92 .L 1 O0 9200* 00/ SF ' NO NO
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<br /> ,. ~PE: BUILDING PE~IT OR APPLZpZ~ NO:
<br /> / A~ IT~T/~GINEER., NO.
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<br />CONTRACTOR- NO.)
<br />DEVLIN, CHRIS /
<br />3767 CHEI~RY NE
<br />KEIZER /
<br />PHONE+. 393-44,36 / PHONE= ~¢.,~./,/~ ~
<br /> I Tli~4 / QUANTI TY~_RI_70 AIV~JNT
<br />BUILDING FEE ~ lo~,O,a ~105.03 ,¢~r,
<br />PLAN REVIEW . g,o $
<br />FLEET ,?&JRCHARGE -ZONE 7~ ff~
<br />BUILDING STATE
<br />
<br /> TOTAL, ~EEiaEB?' E~E~,~ ,,
<br /> 'PREV~O~J.S .RE~E-~pT$ ',~ $286.35 .
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<br /> BAt,*~C~.~-~ IE'
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<br />PAYEE: ..........
<br />
<br /> [~E.
<br />· ~IS IS ~' PE~IT * TH~S PE~
<br />~ST~CT~N C~ ~R A ~PERIOD OF ~80 T~. ~E~H¢~LpE~iT
<br />RE~IRE~ OF STATE ~,~D ~RI~ ~
<br />~L 8~ NULL ~D ~IO'. '~,:~
<br /> /
<br />
<br /> ,; ,,,;, ,:,, :,.
<br /> ~20 ~5 ~5 RR-5 S~,<&...'.L;., ,.'
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<br /> 2~ TOTAL ~ ~: 98~ STORI~-' --~ .... ,.P~,AOTZ~:~
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<br />OFFICE COPY
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