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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />2¢'0 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P,M, - 8:00 A.M, <br /> <br />~ arn perf0r~in§ work on ~ property I owr~ or occupy· <br />~ aM a regi..tOred builder OR ( ) the authorized representative <br />of e registered builder. <br />The woPk will be performed by a registered builder· <br />Or,er ....... <br />I have road and egree tO tbs terms stated on the reverse side of <br /> <br /> DA?E: 09/'!3/'$9 TT~eF.,' <br />OWNEe: <br /> <br />CATEGORY: <br /> <br />OCOUPANCY <br /> <br />PHONE: ?4 3.,,213 ! SiTE >,!UF~!SER: /7392 <br /> VA LUA F I ON: <br /> <br /> 76a 285 2 S 7740. 5F NO NO <br /> <br />MAP <br /> <br />'7YPZ. ¢'4ECF!$N.[OAL PERMIT OR ,APPL.,ECAT'fON hi(): <br /> <br />CONTRACTOR, NO_ 13750 <br /> <br />:>,O. BOX 58 <br />TURNER, OREGON 97392 <br /> <br /> l T EP~ <br />DOF'] EXHST ~.'ANS & DRYER VENTS <br />:~4EC HAN I C.~.!.. SAS,C, <br />?LEET SLIRQ.~z,,RE;E:~ -.IONE 3 <br />v'ECHAN lEAL 3'!-.,~, ;'C <br /> <br />18651 <br /> <br />TO, A,.- ,¢4~SESS'~_D , EEa <br /> R~VIOL~ R.¢CEI, _ <br />TI4:S <br /> <br />QU/',NT':'rv A:'¢XEX.IN T <br /> <br />$23 <br /> <br />:'.:?',: !7 RECEI PT NO: <br />· ......, ,,'_ pr. >3 TYPE: CHECK ~;: <br /> <br /> THIS Io A VALID PEf~'4IT ~ TH,TS,pE, R~IT, EXPIRES 180 DAYS, F~ ITS I~E DATE. <br />~$T~CTIO~ CEASES FOR A ,PERIOD,OF 180 BAYS, "OR :IF, ~STRUCTI~ FAILS TO NEET ALL <br />RE~IREM~ITo OF STATE ~'~;D',~RI~ C~N~ BUILB%N6 ~9 Z~ING ORDIN~CES. THIS PE~IT <br />?~ALL BEdE NULL AND VOIOL , <br /> <br />':d'l%kFd/S: FN V'T <br /> NOQ0r_EY, MAR;ON COUNTY 8LiILDING OF~C:AL / BY ~__~ ......... ~_ <br /> <br />COPY <br /> <br /> <br />