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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: 5@8-7904 <br /> <br />I have read and agree to the terms 8tared on the reverse 81de of <br />this document. <br /> <br />USE Of BUILDING: <br /> <br />; <br /> <br />BLOCK: <br /> <br />............ TAX LOT; CATEGORY: <br /> <br /> I CONSTRUCTION TYPE: ! OCCUrRing: <br /> <br /> ........ ; CONTRACT"5 '~ N C~TY'. IdA~: j;', ]:~:.-.'XOOCuCANT LOAD: <br /> <br /> : SITE NUflBE~: ~-81285 <br /> <br />TYPE-. I)WELLING PERI4IT OR APPLICATION <br /> <br />Ct,-INTR¢'~CTOi:~,, l',!'~),, 6:L,474 <br /> <br />b495 /2r<! Ave ~!:"'_ <br />-.'[.-!I.8(~:; ',~ o~,;..: 0: <br /> <br />:O!..l',ii:L.L.:i:i,[(; ~(I}:l..~):i. Nt:; I'--~:',r'~ <br />!)WELL:[ N E:, <br /> <br />I)M:iX,,L l :,E; ELECTI:UllCAL <br /> <br />1) f,~ Ii;; i.,.l.. ;; !.,¢ £, I::'I,./~1,! <br /> <br /> 46425 ~P <br />A ....... t. f L C ~'/,::.Fi~z ... ~ ,:.c ~-~ :, NO,, <br /> <br />::':~EV~ )LiS Ri:.E,~:.,.t f,~ <br />TH]:S ~.Lt:,,U f <br /> <br />CONSTRUCTION CEASES FO~ A PERIOD OF 18~ DAYS, OR IF CONSTRUCTION'¢AIL~e ~=~EET ALL <br />EQUZREEENTS OF STATE LAWS ANB MARION COUNTY BUIL~IN~: AN~ ZONING OR~INA~C~:,S~ THiS <br /> At BECOME NULL AN~ <br /> <br /> '?O'T'AL S~ F'T~ :~,87(:; I,,',.F"8 <br /> <br /> P L AIq. A C'f':[ 0 N ;: R R- <br /> ENER{Z-Y F'¢YT H ':. BP" <br /> <br /> r'[ ;r%,'. I.~" ' ()F'?::I:C:i:~:~L. / :BY ....................... ~ .......... <br /> <br />OFFICE COPY <br /> <br /> <br />