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MARION COUNTY BUILDING INSPECTION <br />SENATOR F~LDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-$147 <br />CODE-A-PHONE 4:30 RM. - 8:00 A.M, <br /> <br />I am performing work on a property i own or occupy. <br />I am a registered builder OR ( } the authorize¢ representative <br />of a registered builder· <br />The work will be performed by a registered builder· <br />Other <br /> <br />I have read and agree to the terms Ststed on the reverse side of <br /> <br />SIGNATURE OF APRLIOANT: <br /> <br /> gATE: <br /> <br />owC~,a:T E; /.-~/8¢ Ti2dE: <br /> <br />S~TUS ^oengS,,~¢OOD I/~AYN E L <br /> <br />USE ©~: BUILDING: <br /> <br />~:. ?49-2235 <br /> BLOCK: <br /> <br />!!:47:59~ <br /> <br />OR 91325 <br /> <br />I OCC0¢AN'C¥1 ,,,.,..).~C,~,:. ~,.-_ <br /> 3 <br /> <br />STONEFZELDGLEN <br /> <br />SITE NLINBER: 7828 <br />~^NG~..A~U,A f' [f,~x . ZONE'. MAP: <br /> <br />WIDTPh 2 DEPTN; AREA: 26 : UNITS: 3S ~RRE~. LOT: 2N ooR'h~R: AR S i <br /> <br />AC YES NO <br /> <br />TYPE: MCE. L,_'8 I':Ot~E PERHIT OR APPLICAT]:O",! NO <br /> <br />CONTRACTOR, NO. 20799 <br /> <br />'::4r':' NO, f'!~,GH~AY 99W <br />'%: H~NNViL_LE, OREGON <br /> <br />~7128 <br /> <br />,QUANTLTM <br /> <br />4~5 23 <br /> <br />P~,: ~ .... ~ REC. E l ?'-ff <br />~IS RECEIPT <br /> <br />9AL~xCE ~,.~ <br /> <br /> .... \-, - ,: TYPE: 'CHECK <br /> <br />'"~ THTS,r.S A VALID PE~ZT ~ ~ZS,',;PE~tT ~P[RES 180 BA~ F~ ITS Z~E DATE. ~F <br />~ST~CT[~ CEASES FOR A PERZOD:'QF ,~8~,'~YS,OR 'IF. ~ST~E~ FAILS TO NEET ALL <br />REdIReCTS OF STATE ~.~ ~D:'~ r~N~ .BUILDING ~D ~ZNG ORD,N~CES,' <br /> <br />~o~ ¢ ~6 ~-~ ~ev ,,~ OFFICE COPY <br /> <br /> <br />