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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG NQ 225 , <br /> 220 HIGH STREET NE <br /> SALEM OREGON 97301 <br /> <br /> PHONE;: 588-5147 8::00 - 4::80 <br />24 HOUR CODE-A-PHONE §88-7904 <br /> <br />51GNATURE OF &PPt. ICANT <br /> BATE <br /> <br />TAX LOT <br /> <br /> 9.0222-130 <br /> <br />CONSTPUCTION TYPE <br /> <br />3112 80LJLDER <br />RC)I f ¢_)R 9./342 <br /> <br />OE T R©I T NO <br /> <br />bALEM, OR 97303 <br />PHONE: 59. I.~! 8~b 5tTE NU~8~R: F729 <br /> VALUA [ ION: <br /> <br /> 1 19 5~ <br /> <br />CA'fEGOR¥ <br /> <br />OCCUPANCY <br /> <br />OOCUPANT LOAD <br /> <br />RE_SI L)bN f IA_ <br /> <br />MAP <br /> <br />f '"P'E:: MECHAN 1(.;AL PERMI I OR APPU ICA f ION NO: <br /> <br />35818 <br /> <br />CON T RAC f OR, NU <br />HAM, I RI)MA% <br />1990 ,'"A~PLE, AVE NE <br />UAL. El'q, OR 9.':r$[.)3 <br />~>HONE: 581-- 1 ~.885 <br /> <br /> ~, rEM <br />DOME5 f I C WOOD <br />MECHANICAL M~.Sb FEE <br />I~b, CHAN I GAL S f,~ f E E:.URCH~RQ~E <br /> <br />QU~N f I f ¥ <br /> ! <br /> <br />TO]AL A~ESUE~ FEES <br />PREVIOUS RECEIP'T5 <br /> <br />PAYEE: HAM, Tt,'tOI'q,AS INVOICE NO: <br />Rt:-CEIVED BY: ~)M2 TYPE; iN CHECK <br /> <br /> AMOU N 1 <br /> $'/ 50 <br /> $10.00 <br /> $0.8? <br /> <br /> $~. oo <br /> $18 <br /> <br />3 ':~ ? 33 <br /> 0 <br /> <br /> THiS IS A VALiD P£1;~IT * THIS PERI, iT EXPIRF_.~ 180 BAYS FRO~ iTS ISSUE DA[E. IF <br />CONSTRUCIiON CEASF_~ FOR A PERIOD OF 180 OAYS. OR iF CONSTRUCTiCf4 FAILS TO MEET ALL <br />R~r~JiRE~VlENT$ OF ~TAT~ LA~5 AN~ MARION COUNTY BUiLOIN~ AND ZONING ORDINANCES. IHi5 PER~iT <br />:~IALL BECOI~E NULL AND VOiD. <br /> <br />QL)NALL) b ]¢OOOLEY, NI~RJON COUNTY ~UiLDiNG OFFICIAL / E~Y <br /> <br /> <br />