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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 />t am ~, registered bg~ldef OR I the authorized re~rese~tetive StGNA'¢UIRE OF
<br />0 a registered builder.
<br />The work will be I~e¢¢ormed by a segistered bullder.
<br />Other,
<br />I have read and agree to the terms stated on the reverse side of
<br />this document,
<br />
<br />........ TAX COT; ................ I C~,T~ORf.
<br /> ! RI:_"'S ]'. D E N-t' I A L
<br /> OON~TRUOTION TYPE ]OOCU ANC )--~ ~----Y; ~
<br /> .5-1~ ...................... }~ 1~ -.J..t .........
<br /> OONTP> CITY'. UGB'. ~ OOOUPAN LOA~:
<br /> ~AR:[ON COUNTY NO /
<br /> NO 06 BEOR~OMS
<br />
<br />S]:F. GLI? FAHti.,Y D*I:L-.[NE,:~
<br />
<br /> SITE NUMBER: 9~-01997
<br /> VALUATION:
<br />
<br />"=~WNSHIP.- ....... RA~ .........
<br />
<br />TYPE: BUILDING PERMIT OR APPLICATION NO:
<br />
<br /> 47661
<br />AkLHI1ECT/EN£,].NEER~ NO,,
<br />
<br />PHONE:
<br />
<br /> ?TEN QUANTITY Ai~i(]UNT
<br />DENOL:[ TIOi,i 1 $;L8,, 00
<br />ZON].Ni,~ , U] &HARC;E $8.5~
<br />
<br />TOTAL ASSESSE]O FEES
<br />P REV :l:Ot,i,~; RECEIPTS
<br />TH:I:S IRECEZPT
<br />
<br />~t, [, ,8. J B
<br />
<br />BALANCE DUE $'8.88
<br />
<br /> PAYEE: B["'I. DEN~ PAUJ~I;~kiE//") ·
<br />
<br /> ;;~ECEIVI"_::i) [4Yil N~,,.._[,_.,~:::~:._,_~,.,,,,,:~._..:.:.,,..: ..... :,,.~ .., ..... TYF'E,',' C,K CHECK :l,b: 4925
<br /> ~ THIS TS A VALID PERMIT. THIS PERMIT EXPIRES 18~1 ])AYS FROM ITS ISSUE BATE.
<br />CONSTRUCTION CEASES FOR A PERIOO OF 188 DAYS, OR IF CONSTRUCTION FA~LS TO MEET ALL
<br />
<br /> TOTAL SQFT: B
<br /> ,, F'LAN,, AC'I'~ON: RR"'~-
<br />
<br /> k H¢i ~o., DEHO 1%~0~ Y
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<br />OOI,1AL.:D E,, gsL]':;DL, iii:¥,~ 14A&I,C~N COUN-('Y [4U1;L,D~iNG OFFICIAL / BY
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<br />~R~ ¢ ~C ¢-~ ,~.,~ OFF[CE COPY
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