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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:: 888:7904 <br /> <br />of a repistered builder, <br /> <br />SIGNATURE OF APPLICANT <br /> OATE <br /> <br />1b:40:09 <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYRE <br /> <br />5??06-000 <br /> <br />CATEGORY <br /> <br />OCCUPANCY <br /> <br />125 SPRUCE Cf <br /> <br />OR 97325 <br /> <br />Ad~ISV, I LL~ <br /> <br />UGB <br /> <br />NQ <br /> <br />PORTLAND OR g/2 ~Z <br />~-~dONE: <br /> <br />LOT BLOC K SECTION ' TOWNSH FP <br /> 23 25 <br /> <br />SUBDIVISION <br /> <br />EV~GR~,~J~I ~'-blAIE~ MH PaRK <br /> <br />$,L f g NUMg~ER: <br /> VALUA T 1 ON; <br /> <br /> NO <br /> <br />ZONE <br /> <br />CORNBR <br /> <br /> NO <br /> <br />IYPi: /:LEUf~<I(JAL PLRMiT OR APPLiC/~fION NO; <br /> <br />33585 <br /> <br />SLIR~RV 15 [NG ~LEC T R i Ci $JN/NUNII~R <br />RU~ELL RICE <br /> <br />MANUPAC[UREU F,IO~E SERVICE/F~fJER <br /> <br />~A Y L i.: <br />:'¢bL;b ,~ V k~L) BY CL <br /> <br />PREVIOUS R~CglPTS <br /> <br />QUANTITY A~!QUNI <br /> I $3~00 <br /> $'-~5 <br /> <br />$36~b <br />$3~.'75 <br /> <br /> RECE! PI N(J:: <br /> lYRE; CHECK ~: <br /> <br /> THIS 15 A VALID PERrY)IT * TNi$ PER)VlIT EXPiRE.~ '180 DAYS ERO~I ITS ISSUE DATE_ iF <br />C~5114UCTiON CEASES FOR A PERIOD OF ~80 DAY~, OR ,t~ CONfS"['RUCTiON FALLS TO fflE~T ALL <br />iREQUIREMENTS OF STATE LA~ AND f~ARION COUNTY BUILDING AND ZONING ORDiNaNCES, THIS <br />5~ALL BECOME NULL AND VOID. <br /> <br />FORM # MO l~-~e REV 4/90 OFFICE COPY <br /> <br /> <br />