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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 />I ara performing work on aproperty I own or occupy <br />I Bm a registered builder OR ) the authorized representative <br />of a registered builder. <br />The work wHI be performed by e registered builder, <br />Other ....... <br />I have read and agree to the terms stated on the reverse side of <br />this document, <br /> DA"f E,,, 03/29/93 T:[NE: 9:24:48 <br /> <br /> PO BOX 594 .......................................... <br /> AUHSVI,,,LF_ OR 97325 SITE NUMBER; <br />~ ;°HOl'iE: 749"-3407 VALUATIOM: <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION NO: <br /> <br />CONTRACT[ R,~ MOm, <br />SCOTT~ TOM <br />PO BOX 594 <br />AUNSVIL/.,,E OR 9732.) <br />PHGNE: 749-:3407 <br /> <br /> I <br />BO I I_,I):J:NG FEE <br />F'LAN <br />BU I L:OI NC. STATE <br /> <br />:'AYEE: <br /> <br /> 43723 <br />A~CHITECT/EgGIN~ER~ NO. <br /> <br />PHONE.. <br /> <br /> TOI'AL ASSESSED <br /> F'REV tOLI~ 1'4:ECE I FrS <br /> TH:rS RE .E]:PI' <br />, B~LAI;ICE DUE' : <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $~49,,00 <br /> $226.85 <br /> $17.45 <br /> <br /> $593.:30 <br /> $0.00 <br /> ,0.00 <br /> <br />CONSTRUCTION CEASES FOR :A PERIOD OF 18t)'DAYS,. OR CONSTRUCT;tON--- ___ ___~ ~__,.. ,..FAILS TO MEET ALL <br /> EQUIRENENTSALL BECOME MuLLOF STATEAND LAWS AN]IDvoiD, tlARIQN COUNTY BUILDING AND ZONING. ORDINANCES, THIS PERMIT <br /> FIEI GHT: 2:3o ~' ' :l .H,. l I, ACK.~. ""'"" FR,,, 20 <br /> ENERGY PATH: 2, TOTAL Se FT: 1600 LS 8 <br /> ,:IORII:S. 2 RS 8 <br /> PLAN. ACTION: RR 8 <br /> ENERGY PATH: 1 SP"' <br /> EEMARKo~ ADDN/REHODEI <br /> DONALD E. WOO~LEY,~ ~AR]~ON COUNTY Bu~Lz)ING OFFICIAL / BY .~ <br /> <br />~ORM # MC 15-5~ REV. 4/80 OF FICE COPY <br /> <br /> <br />