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MARION COUNTY BUILDING INSPECTION <br />SI--NATOR 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 ( )theauthorlzedrepresentative <br />of a registered builder. <br /> <br />Other__ <br /> <br />I have resd 8nd agree to the ter~s stated on the reverse side of <br />this document. <br /> <br />~TUS ADOR~ i ~)N~T~UOTION TYPE: OOCL~PAN w.; .... <br />0sE 0~ e0~L~i~: [~o o~ ~Eo~oo~s: <br /> <br />, ~ALI{H, OR 97~F;5 /W]:LLZAH KELI...I?Y S~TE NUMBER: <br />, F -, 0 q ~ ,,: ;91--66~4 VALUATt;ON: <br /> <br />LOT; : ~; SECT~O RANGE. ! ZONE. ~ MAP, <br /> <br />TYPE: MANUFACTURE]~ STRUCTURE PER~iT OR ARPLICATID~ NO-' <br /> <br />~bI~ERSON, ROBERT~ <br />449B ].../E ~T ~ RI) SP <br /> <br />f'-. ,E: S91-'6684 <br /> <br /> 7£ 'f' E H <br />HflNU!:'AC'HiRE]D S'IFRLiC'¥'UP.E ZON,:I:N(:; <br />PIANUFACT!JF~EI} S-FF~tJCTURF'_ .~TOk~,~,; F'ERHZ'r <br /> <br />F' A Y E E: <br />f:~ ii"-' C f--'; ',{ V E I) Ii, Y: <br /> <br />'T'O'T'AL, ~$.,SESSEI) FE:.E,,;~ <br />F'R E V]; LT/!,I(.~ <br />'I"H): S <br /> <br />~ U A I'4 T :( T Y <br /> <br />AifO(Jtq'f' <br /> <br />OFFICE COPY <br /> <br />~ THIS ZSA VA,LI~ PERMIT *~ THIS PERMIT FEE COVERS ONE INSPECTION AN~) ONE <br />REINSPECTION. ALL t~LOCKIN6~ STAIR INSTAL ATION PL B , ~C ~ ~ A CTR, AL <br />ANY OF THE ITEMS ARE INCOMPLETE. AN ADDITIONAL INSPESTiON FEE WILL BE <br />PER~IT iS VALID FOR SIX MONTHS ONLY. RENEWED FOR 4 MQNTHS UPON QRITTE~ REQUEST FOR <br /> <br /> LS <br /> RS-/ <br /> <br />REKAi:i:FiS: MA['!UI;;',. HOME S'fORAt;E 8Ni,.,Y. APPROVED YOt~ 'rEM:'[ :iA; Y S"[ ;:A~ ! b % A*Y'-'FJF~, ',5 , ~: :' <br /> I<~;~,,I,, REQUIRE I_ANO USE APPROVAL ~.& <br /> <br /> <br />