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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 9'7301 <br /> <br /> PHONE:588-5147 8:00- 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I I i am a registered builder OR { ) the .suthodzed representative SIGNATURE OF APPI. ICANT; ................. The Work will be performed by e registered builder, <br /> <br /> I)ATEi~ r/~41~:l,/q',~ T:~EE',; '7','. 4~;', <br /> <br /> RF'R l' ~)F'N 1' ] ~ ', <br /> ~ }. ';'. <br /> <br /> ' <br /> <br /> AUNSV]:LLE O~ 97%ff,:~ ',MARION 6dUN'f'Y~ NO ~ ' <br /> <br /> ~N0 0r ~EDROOMS: <br /> ~U~E'¢~ <br /> <br /> ~Af~iN~ AD~E~S~ ; SUBDIVI¢ION: <br /> oANL - ..... <br /> ~ H.]IIE,;: 74~'-'2'7',56 VALUAT];ON: <br /> <br />TYPE: NECHANICAL PERNIT OR APPLICATION NO: 46175 <br /> <br /> TEN <br /> C(INNECT'.[ Ol,I <br />:00HESTZ¢ l¢OOi) STOVE <br />HEC, HANICAL BASE FEE <br />NECI..IAN:I:I:tAL S'f'ATE !;URCHAF;E,E <br /> <br />(~UAN'f'ITY ANOON'f' <br /> 1 $2 ,, 90 <br /> <br /> TFI Z S ' '; ...... <br /> , E_CI:.I~ T ¢2b. 48 <br /> <br /> ~ AYEE,,, W]..,lm,~etLe Nsods't:Oves <br /> <br /> .............................................................................................. ~Yr'L., CK CHt[L'CK " <br /> <br /> ~ THIS I8 A VALI~ PERMIT * THIS PERMIT EXP~RE~ 18~ ~AY8 FROM ~TS ISSUE ~ATE. IF <br />CONSTRUCTION CEASES FOR A PERIQ~ OF 188 ~AYS~ OR IF CONSTRUCTION FAILS TO NEET ALL <br /> EQUIREHENTS OF STATE LAWS AND MARION COUNTY BUIL~ING AND ZONING ORglNANCES~ THIS PERHZT <br /> ALL BECOME NULL AN9 <br /> <br />R Ii'_' H A R I( S I; <br /> <br />I,,IDST'g,~ G!-~ C[ii,U,I <br /> <br />t!IY <br /> <br />FOF~M # MC 1 ~,~l RI~V. 4jf¢O OFFICE COPY <br /> <br /> <br />