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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STr~EET NE <br /> SALEM: O.REGON 97301 <br /> <br /> PHONE:: 588-5147 8::00 - 4::30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />DATE <br /> <br />SITLI~ ADDRE.~'~A~'~T .~RS, DREr-4DA <br /> <br /> 115'74 BUNTING LAN~ N~ <br />USE ' OR 9V,002 <br /> <br />MAILING AODRES$ <br /> <br />~RiON COUN ~Y <br /> <br />NO <br /> <br />CATEGORY <br /> <br />OCCUPANT LOAD <br /> <br /> :>f,) BOX ~22 <br /> ~HE~WOOL), OREGON <br /> <br />tOT RLOCK <br /> <br />SECTION TOWNSHIP <br /> <br />RA~ALUA I iON: <br /> <br />!348b <br /> <br />MAP <br /> <br />IRREG LOT :CORNER <br /> <br />YYP~.: MF. CHAN](,:&[ PERMiF OR APPLiCATiON NO: <br /> <br />33529 <br /> <br />L)OMbbI ,~(,: wor..)D !5~OVE <br />~H~CHANiCAL B~E FEE <br />~t_"CHANICA!. 51ATP.,. SURCHARGE <br /> <br />I,~AYL& bi E. IVlA5 f ..R,D <br /> <br />'rOT'AL 4~ESSED FEES <br />PREWiOUS RECEIPTS <br />THIS RECEtPf <br /> <br />QUAN ~ 1 ~ Y ~,¢¢OUN T <br /> $0 8~: <br /> <br /> $0, OCD <br />$~s_3,~ <br /> <br />BALANCE DUE $0 OO <br /> <br /> RECEi~E~ MY; [~2 TYPE: CK CHECK ~: 20%4 <br /> <br />~ IHI5 15 A VALID PEI~llf ~ THIS PERf~IiT EXPIRES 180 DAYS ~RO~ ITS 15~.°~JE DATE. IF <br />ODNSTRUGTION C.~ES FOR A P~RIO~ OF ~80 DAYS, OR IF CONSTRUCTION FAII.~ TO ~L~T ALL <br />R~r.~I. IiR~T$ OF STA~ ~ AND I~R~ON COUNTY ~UiL~IN6 AN~ ZONiN6 ORDINANCES. TH~ P~R~IT <br />SHAL~ BECO~ NULL ANQ VOID. <br /> <br />RLV~AN ':,o i¢.)5 R~V892 <br /> <br />OONALJ,) g NOOL)LEV, M.ARirON CrjUNTY BUILDING OFFICIAL, / 8Y <br /> <br />FORM # MC 15-58 REV 4/90 <br /> <br /> <br />