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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 /> The work will be performed by a registered builder,
<br /> Other
<br />
<br /> DA'?E:;; ~4/;~.6/?';~ "~' E: .L,';,,'" 4J,,F '~._8
<br />f'b~ ~ .............................. ,' ............................. TAX LOT: ~ CATEGORY:
<br />
<br /> ,,,~,.~4 friLL (;;I;('E'.IEK
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<br />SIGNATURE Of APPLICANT:
<br />
<br /> ,
<br />
<br />[WIDTH: ,,). ;DEPTH: AREA'. : UNITS; IRREG, LOT; I CORNER'.
<br /> ~.,,I, 8 :1.75 ~8:1.~}. SF NO ~ NO
<br />
<br />TYPE: PLUMBING PERMIT OR APPLICATTON N£1.-
<br />
<br />8:1.~ S -'UT'F'!'NG
<br />,i~21._[:.H,~ 97 ~ ~5
<br />PHONE: ,.~8",,, d848'
<br />
<br />F;'_IH}IN~ B~EI~ FIEE
<br />PLUHE.[N~; SThIyE'. ,~U~
<br />
<br />46528
<br />
<br />TOTAL ASSESSED Flii:EE~
<br />PREVIOUS RECEIPTS
<br />TH I.,S RECEIPT
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<br />BALANCE~ DUE~
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<br />Q U A N T :[ T Y A M i:) L.t N T
<br /> £ $54 ,, ~F_,
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<br />$77,, 7g
<br />
<br />$77,, 7~
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<br /> .................................................... :~:;,,.,.,:-..z.-,,.,.-:,~.Z:;::~::z~;z:;~z;:z:::~:z~:~;;;:;;;:~;;;~ TY~:[~.,, ~K f.~r'J~{~K ~: ~,649
<br />CONSTRUCTION CEASEB FOR PERIO 18 s 0 R ~ ' - EE L ,
<br /> ALL BECONE NULL AN~ VOZ9. -
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<br />!)ONALD ..... ~:' k~[OO[l:'Y. ...... .,, MAI:;ZI:Oh; COI.NTY ,~,L']:I_.:O): ~; OFFICIAL /BY
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<br />FO~, ~c ~s.~ Re,,..~ OFF]CE COPY
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