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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 />l am a registered builder OR ( )theauthorizedrepresentatlve <br />of a registered builder, <br />The work will be performed by a registered builder, <br />Other <br />I have read and agree to the terms stated on the reverse side of <br /> <br />13:44:09 <br /> <br /> LOTT <br />CONSTRUCTION TYRE'. <br /> <br />CATEGORY: <br />i ~bb~AN~,~i RESt D~N1 IAL; <br /> <br /> 10268 CHA~IPOEG RD <br />AURORA OR g7002 <br /> <br />NE <br /> <br />iMAILING ADORESg~ RESIDENTIAL AOO~y 8TR~C'rUS <br /> <br />10307 RATTHtE.;U LANE NE <br />AURORA OR 97002 <br />PHONE: 878-5397 <br /> <br /> SHIP; <br />UNITS; <br /> <br />CONTRACT CITY'. <br /> <br />;ION: <br /> <br />: NO. OF BEBB00M$; <br /> <br />Si' ~U~ER: 92-02101 <br /> <br />TYPE: BUILDING <br /> <br /> PERNI~' OR APPLiCAI'iON NO: 9040687 <br /> <br /> CONTRACTOR, NO. ~ ARCHi TECT/~,Z:~, NO. <br /> NI LMES, PATRICiA <br /> <br /> PREV~S, RECE~ PTS <br /> TH:iS RECEi PT ': ~='30 ~ <br /> <br /> C[TY JUR[SD[CTJ~* BY OATE ~ ¢ <br />SEP'r[C: 8Y ..............................DATE ............................. ~E~Y PATH: <br />Z~iNG: BY ~TE SETB~KS: FR LS ~ RE <br /> <br />HEIGHT: TOTAL 8 STORIES:: P~.~'I'i~ ~ <br /> <br />~o.u # ~¢ ~-~.~v. ,~o OFFICE COPY <br /> <br /> <br />