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MARION COUNTY BUILDING INSPECTION <br /> SENATORIBLDG NO, 225 <br /> 220 HIGH STREET~_NE <br /> SALE[M: OREGON 97301 '~ <br /> <br /> PHONE:: 588-5147 8,00 - 4::30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />I am performing work On a property I own or occupy <br />lamaregistoredbudderORI I~heauthorizedrepfesontatNe <br />of a registered bLWIder <br /> <br />~)ATE <br /> <br />ow~rz~TE= ]0101/9~ fINE: 1'~':24:;~3 TAX LOT CATEGORY <br />SITUS ADDRESS CONSTRUCTION TY~E OCCUPAi'~CY <br /> <br />U~F OF ECUILSIN6 L)ET R0,~. T N(.) No o1: BEDROOMS <br /> <br />BOX 529 <br />DETROIT 9?342 <br />PHL~g: 854-338'/ SITE NUMBER: 7178 <br /> VALUATION; <br /> <br /> I t0 5E ~F 105 <br /> ~P NO, NO <br /> <br />~YPE~ ~b,'.r,;H AN / CAL <br /> <br />B~TRACIOR, NO. <br />5TRAFFORD, G4RY <br />PO BOX <br />BEfRO~f 97342 <br />PHONE; 854-338? <br /> <br /> iTE~ <br />DOMESTIC ~JOD STOVE <br />~E(¢HANiCAL BASE PEt <br />~ECHANtCAL STALE 5UF,i'CBARGE <br /> <br />PER~iT OR APPLiCATiON NO: <br /> <br />35814 <br /> <br />OUAN~IIY A~OUN/ <br /> SO.SS <br /> <br />$0,00 <br /> <br />PAY~: SYRATFORD, GARY INVO[C~ NO~ 3'?Y28 <br />RECEIVED BY; DM2 fYP~ IN C~ECK ~: 0 <br /> <br />~ THIS IS A VALID PE~IT ~ THiS PE~IT EXPIRES 180 DAY~ FRO~ ITS 15,50~ DATE. IF <br />CONSTRUCT1C~ CEASE~5 FOR A PERIODOF 180 DAYS, OR ~Ca~TRUCTION P~IL~ TO ~EEi ALL <br />RE(~JiR~ENTS OF STATE LA~ AND ~ARION COUNTY BUILDING ANO ZONING ORDINANCES. THIS <br />5HALL BEICC~E NULL AND VOID. <br /> <br />R~MARKS: ~XiSftNG W5 <br /> <br />OONAL0 g. NOODLE[Y, R~RiON COUNTY rViL¢iNG OFFICIAL / BY <br /> <br />FO.r~ ~ MC ~ s.s~.~v .¢~eo OF FICE COPY <br /> <br /> <br />