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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG 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 perfor~lmg work on a property I OWn Or OCCupy <br /> <br />I have read end apree to the terms stated on the re~er$o side of <br /> <br />ADAI'4~, JULIE ANN <br /> <br />TAX LOT <br /> <br />CATFGOR~ <br /> <br />250 gVERGR~EN DN <br /> <br />(JR 9'1325 <br /> <br />CONSTRUCTION TYPE <br /> <br />uGa NO <br /> <br />OCCUPANCY <br /> <br />OCCtlPANT LOAU <br /> <br />I~ORILAND, OR 9'~6 <br />PHGNE: /85-0.~53 <br /> <br />51TE NUMBgR: 13056 <br />VALUAfiON: <br /> <br />55 8! ARbA 4Y85. SP NO CORNENOR <br /> <br />MAP <br /> <br /> NO. 4096 <br />OR 97206 <br /> <br />MOBIL~ H(~f4E SfAIE 5URC~AR(S~ <br /> <br />PRE¥~OUs RECE1P'f'~ <br /> <br />QUANIiI¥ <br /> <br />AMQUN/ <br /> <br /> $1b.?b <br /> $5.2b <br /> <br />$110.2b <br /> $0.00 <br /> <br />BALANCE DUB <br /> <br />PAYEE: INVGiCE <br /> <br />~ THI~ iS A VALID ~IT * TH~$ P~i~IIT ~XPIRE~ 18g I~'~ Ft~l~ ITS IS~U~ DATE. IF <br />CONSTRUCIII~N CFj~IL~, FOR A P~RiOD OF 180 gAYS,OR ~F CONST~JOTION FAILS TO ~EET ALL <br />R~q~JiR~I~,NTS OF STAT~ ~ ~ND I~IARI~N C~UNTY ~UILDiN~ ~ND ZONIN~ O~DIN/~NC~. THIS <br />~ALL BEOO~IE NULL~Ig <br /> <br />REMARKS: MN PLACE~EN~ GNL9 / ADDEIlONAL'PEPJ~4ilS RBQUiREO BY YHiS ~BP~RJMENT &RE : <br /> PLUMBING AND ELECfNICAL <br />PL..ANNZNG ACIION: i ' <br />LYONALD E. W~JDLEY, ~ARIC,'N COUNIY BLiLDiN(= GFPiCIAL / BY <br /> <br /> OFFICE COPY <br />FORM # MC 15-56 R~¥ 4/90 <br /> <br /> <br />