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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:588-514'7 8:00- 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am performing work on a property I own or occupy. <br />I am a registered builder OR the authorized representative <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 />this document. <br /> <br />~WNER'. DATE: ~S/~0/%~ T~.MI ..... 7,, ,52..~.~ TAX LOT: CATEGORY: <br /> <br /> [ <br /> .,7,J~- ~ OL, NEY S'f' ';'~A~ dl~: <br /> <br /> ~O. OF BEDROOMS: <br /> <br /> RES DE,T]AL ACEES~RY 9,~RUCTURES <br />M~ILING ADDRE$8: ~ SUBDIVISION: <br /> <br /> F'O ~¢x '2~8 <br /> AUi%VII_LE 97~25 i SITE NUMBER= <br /> F'I4ONE: 749-I265 VALUA'r ION: <br /> <br />TYPE: ~UILDING <br /> <br />PERMIT OR APPLICATION NO: 45917 <br /> Al [.,HZ l-t'_' C I/=.N(~tNI.Ek, NO. <br /> <br /> :r, T E M <br />BU]'.L.D I NG FEF <br />PLAN RI~;V :[EW <br />BUILDING STATE SUI:~CHARC, E <br /> <br />?HONE: <br /> <br />TOTAL ASSESSED F~;.I:.,~ <br />PREV] ( US ~ECE]' ;;'TS <br />THIS RECEIPT'" <br />[~,A L, AI'~C E ;DUE <br /> <br />QUANT I TY <br /> <br /> RECEIVED BY:: F:'B .... IYI-I:,,,'-" CHECK ~: 0 <br /> <br /> * TH~$ IS A VALID PERMIT. THIS PERMIT EXPIRES 18. DAYS FROM ~T~ ~S U D _ <br /> <br />EQU!REMENTS OF STATE LAWS AND MARION COUNTY ~UILDIN6AND ZONING ORDINANCES, THIS PER~IT <br />ALL ~ECOME N~LL AND VOI~. <br /> <br />L.H,,,, Rt~,Y PATHi; <br /> <br />HEIGHT: 15 SET)3ACKS: FR_.20 <br />TOTAL SQ FT: 1200 L,S 5 <br />S T 0 R :[ E ~: :L R S '" 5 <br />P A*, ACT:tON: RI.ii;5 <br />EIFRGY PATH: SP <br /> <br />REMARKS: 6ARA(,;I~ <br /> <br />DONALD E,, WOOD,,.EY~ MARION COUNTY BUILDINf:; OFFIC]:AL, / BY <br /> <br />1M # MC ~5,58 REV, 4/80 OFFICE COPY <br /> <br /> <br />