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MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG, NO. 225
<br />220 HIGH STREET NE
<br /> SALEM, OREGON 97301
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<br /> PHONE: 588-5147 8:00 - 4:80
<br />24 HOUR CODE-A-PHONE: 588-7904
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<br /> of a registered builder.
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<br /> Other
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<br /> DATE:: 04/'0?/?7; TIHE;
<br />' 8&~ 5TH N- 5'"'N ~..-~
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<br /> F'O H]X 951
<br /> A ~SVI].,.I...F',J (.I c, 97~25 SITE NUMBER:
<br /> PHONE: -, ~-1'
<br /> 7 ~ ......49 i VALUATION;; $5,~
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<br />TYPE: BUILDING
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<br />PERMIT OR APPLICATION NO:
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<br />BU]iL:O]'.Nf',, ,r~TATE ut. F.,C, II~l M;
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<br />AM.,HI f'E.C, 7/EN :.£, .-_E % NO,,
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<br />F'PtO NE::
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<br />TOTAL ASSESSED. [ ...... :,;,,;)
<br />F R..,V)'OUo RECEIPTS
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<br />BALANCE DUE-':
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<br />QU AI'T¥' I 'fY
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<br />AM~IS,g
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<br /> $2,, 55
<br /> $85,, 86
<br /> $85,, 86
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<br /> ::'¢,Y,,EE: Service Haste- ¢.,F S¢¢~ep ~"c ,..
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<br /> * THIS IS A VALID PEBMIT. THIS PERMIT EXPIRES 18~ DAYS FROM ITS ISSUE DATE- IF
<br />CONSTRUCTION CEASES FOR A PEEIOD OF 18~ DAYS~ OR IF CONSTRUCTION FAI~S TO MEET ALL
<br /> EQUIREHENTS OF STATE LAWS AN~ ~AEION COUNTY BUILDING AND ZONIHG ORDINANCES~ THIS PERMIT
<br /> ALL BECOME NULL AND VOID.
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<br /> I,,IETGHT: ;L4 ,:J...¥BA(.,Ix,,~,, Fl:i: /
<br />E '.llq 7[;Y F'ATH: ~ o .u,';,~.c .
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<br /> - ,r.';l, E N6 Y PATH:
<br />Il MAI F,, ,, FI:RE ::;EPA'I'R
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<br />DONALD EX, WI~ ~_.~.Y ~A~.~I.~ COUNTY BU;~L~;[NI; OFI",Lb,~AL /
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<br />FORM # MO 15-5~ REV, 4igc OFFICE COPY
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