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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG 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 am performm9 WOrk On a property I own or occupy <br />lam a registered builder ORL ) the authorized feprosentative <br />of a registored builder, <br />The work will be podormed by a registered buildor <br />Other <br /> <br />SIGNATURb OF APPLICANT <br /> DATE <br /> <br />OWN~fE: 05/24/90 f 1MB: 14:0't:43 TAX LOT CATEGORY <br /> <br /> K.~N h~ H l DE,NAY <br />S~TU'~ AOOHESS CONSTRu(.rlON TYPE Ot~F~UPANCY <br /> <br />COlv~ERC i,~ L <br /> <br />530 CLE~[ER RD CONtRACT CITY <br />DECROlf OR 9?342 <br />USE OF BUILDIN~ DETROif <br /> <br />NO <br /> <br />O0(,U PA N T LQA~-~ <br /> <br />PO BOX 572 <br />[)E i ROI l OR 9?342 <br />PHONE: 854--3362 <br /> <br /> VALUATION: <br />gAN6E <br /> <br /> 9854 <br /> SI,a40.00 <br />ZONE MAP <br /> <br />iRREG LO1 CORNER <br /> NO NO <br /> <br />TYPE: BUILDING PERMII OR APPLiCAtiON NO: <br /> <br />CON iRACf©R, NO_ ¢~696 <br />CA~AOE ROOFING CO. <br />2831 BRUSH COLL, EGg RD NE <br />~ALE~, OR 97304 <br />PHONE: 363-4823 <br /> <br />BUILDING PEg <br />PLAN REVIEW <br />FLEE! ~JRCHARGE ~ONE '~ <br />BUILDING STAff, ~UN"CRARGE <br /> <br />PAYEE: <br /> <br /> 23880 <br />ARCHiTEGI/ENGiNEER, NO. <br /> <br />PHONE: <br /> <br />TOTAL ASSB~ED FEES <br />PR~¥1OU~ RECEIPI'~ <br />lHl~ RECeiPT <br /> <br />BALANCE <br /> <br />QUAN'IITY <br /> <br />ANOUNT <br /> $25.08 <br /> <br />$51.4~ <br /> <br />$0 00 <br /> <br /> /~ECEIVgD BY: cl2 TYPE: CHECK ~; 0 <br /> <br /> THIS I~ ~ VALI0 P~R~iT * 'fHI~ PERMIT' EXP~R~S 180 OAY~ PROM [f~ iSlE ~AIE+ ~P <br />CON$1R~CTION CgA3E3 FOR A PER~OD OF ~80 DAYS, OR iF C~NSfRUOF]ON FAIL~ fO MEET ALI_ <br /> <br />~SHALL ~ECOM~: NULL ANO VOID. <br /> <br />%~/BACKS: PR L.~ R~ RR ~P <br />REI~a~RKb: RE--H'OOF .............. <br /> <br />HEIGHT: 2b TOTAL ~(~ PT: O ~IORiE~: 2 <br /> <br />L×~ALD E. WOODLEY. MARION C~UNfY BUILDING OFFiCiAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />