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MARION COUNTY BUILDING INSPECTION <br />SENATOR B~DG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8::00 - 4:30 <br /> 24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br /> I arr~ performln0 work on a property I own or occupy <br /> I am a registered builder OR I the au hor zed ep esen a ye <br /> of a reglslored builder <br /> The work w~ll be por¢ormed by 8 registered budder <br /> Otbor <br /> I ha~e read and a§ree to the terms stated on the reverse side of <br /> fids document <br /> <br />OA:~:: 07/17/91 riflE: 13:21 <br /> <br />,~WUS ADDRESS <br /> <br />S~GNATURE OF APPLICANT <br /> DATE <br /> <br /> T4× LOT <br /> <br /> CONSTRUCTION TYPE <br /> <br />,':',CtF~SV i LLE, OR 9 f3,~5 CONTRACT CITY <br /> <br />ALI~;~V'i L_L t'_ OR 9t325 <br />k'HSNE: ~'69,- !8(}0 <br /> <br />LOT BLOCK SECTION TOWNSHIP <br />35. <br /> <br /> CATEGORY <br /> <br /> : OCCUPANCY <br /> <br /> , OCCUPANT LOAO <br /> <br />NO <br /> <br /> VA LU a f ~ ON: <br /> RANGE ZONE <br />95 IW IL <br /> IRRE6 LOT CORNER <br />AC NO NE) <br /> <br />33S ~ 9 <br /> <br />3UPERVIS] NG ELEC ~ P, 1 C, t AN/NUrClB ~ F~ <br />R[C. RARD N, PRAHLER 'fS'lBb <br /> <br />T~v!~-:~ 5E'~V/PghDlzR L_ES~ tHAN 200 Ar'aP,'5 <br />¢: ,~ ,,h.U f R t,(?AL 5 T A I E SU RUHARLa,. <br /> <br />QU A.N f i f Y <br /> <br />r';>AYEE~ FRAHLER ,,~LP..C;fRiiC CONPAN¥ <br />~xEQ'EiVbU ~Y; DM2 <br /> <br />IO~iL A~E.5~EO PEES <br />PREVIOUS R~CEiP]$ <br />THI~ R~CEiP. <br /> <br />YYPa: OK CHICK <br /> <br />$0. us <br />$3~. fb <br /> <br /> THIS tS A VALID PE~iT * THiS PERi, iT EXPIRES 180 OAYS FI~ iTS iSE>UE DALE_ iF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION PAILS TO ~£g~ ALL <br />qgql~JiREMENTS OF STAT~ LAINGANDt~ARION COUN'[Y 8UiLDING/~NO ZONING ORDINANCES, THIS P~IT <br />5~flALL 8E~E NULL AND VOID. <br /> <br />3OI",IALL) b-.. Wq)(Jg!~EY, IVlARION (?OUNTY BUiLDiNG O~';P!CiAL. / UJY <br /> <br />FORM # MC 15-56 REV 4/90 OFFICE COPY <br /> <br /> <br />