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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 H~GH 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 an/ performing work on a property I o,~n or occupy <br />1~ 18maregisteredbuddorOR~ )theauthonzedrepresentative <br />of a regls~orod builder <br /> <br /> ) Othor-- <br /> <br />SITUS ADDRESS <br /> <br /> 51 MILE P%Lbf N. ~ANflA~ HWY <br /> <br />RENIOR- MCN~RN~Y~ JERRY <br />P-O. 681 OEfROi~, OR 97342 <br />P!dON~; 854~-380'/ <br /> <br /> TAX LOT /l/ <br /> <br /> CONSTRUCTION 'fYPE / OCCUPANCY <br /> <br /> / <br />I~*¢.R i ON ~OUN fY /NO <br /> / <br /> <br /> E NUffiBE, R: ~226~ <br /> ALUA T J: ON: <br /> / <br /> <br />lYF>E: PLt. JIVI~ ,[NG <br /> <br />9030288 <br /> <br />,/ <br /> <br />PEf,~,Ii f OR APPLiCAf iON ,NO: <br /> <br />~ON l RAC f OR, Nf-). / <br />51ALE Of'; ORE HI/~Y OEP!. /, <br />f~I"-'N'COR- M~NgRNEY, JBRRY <br />P_O. 681 OEIROif, OR 9'/342 /,' <br />f.,"tt(JN ~: 854~ 3807 // <br /> <br />WAIER LINES, 1Sf 100 PH..~f iON <br />fv]OB[L~ HOME 5~W~R AND WAI~R <br />PLUfV~ ! NG ~ A[E <br /> <br />DEN f [AL, <br /> <br /> 105 <br />iRREG LO/ NO CORN EI~o <br /> <br /> ? <br /> <br />TO1AL AS,%ESSED FEE5 <br />PRg¥iOUS REG~IP rs <br /> <br /> / TH.~5 RECb:iPt <br /> BALANCE OUE $0,00 <br /> <br /> PAYE~: ~CNERNEY. LE~ ~RCC~IP~ NO: <br /> RECeiVeD BY: CL ~ FYPE: CK CHECK ~: ~3CA <br /> ~ TH15 iS NOT A PelT. TH18 APPLICATi~ ~ST ~ TH~ A R~I~ P~ ~ERE TH~ <br />~LL~iNG ~ST BE ~PLETED. iT IS THE RES~SiBILiTY OF THE APPLiC~'I ]O ~RE THAT <br /> L N~C~RY iN~TI~ H~ 8E~ P~iDED+ <br /> <br /> / <br /> <br />FORM ~ MC 15-56 REV 4/g0 OFFICE COPY <br /> <br /> <br />