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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 />of a regtptered builder,
<br />The work will be performed by a registered builder.
<br />Other
<br />
<br />~OY; 18£ObKi ; §'~E?io~: T ............. ; ..... : ............ ' ..... :
<br />
<br /> ,: TOWNSHIP, i RANGE. i ZONE, /L MAP,
<br />
<br />TYPE: DI, IELLIlNG PERMIT OR APPLICATION NO:
<br />
<br />LOli?RA,.,][),,~, nO,, 84.,,11
<br />No"r yel R i c h,_'.~lr d s
<br />!3F~94 ' ey S ~
<br />
<br />PHONE: 749-21:i. 27
<br />
<br /> .g TI:N,
<br />DW~ ... ,. [, I; ~ J [LD ;:N; FEE
<br />I)WE]_L IN(;
<br />DkF'l ..........
<br />I)WELL ZNI; Fd,,,M.-"T ~,.CAI,,.'
<br />D~ELL]:Ng STA~'E 9L
<br />i)HELL,;[ NG F'LAlq
<br />
<br />F:'A YI'_"' E: :
<br />
<br /> 46967 DP
<br />ARCNZ irECT/EN6 INEER,¢ biO.
<br />
<br />F'{.4 0 NE:
<br />
<br /> .A.. A,,~S~.,~Sc, D FEE°.
<br />F~REVIOUS RIEr]E]iPTS
<br />
<br />[~UAN 1' :[ TY
<br />
<br />$704. ,,,0
<br />$704,, 50
<br /> S0,, 00
<br />
<br />!,~Ai,,.A.qC,E ]BUf: $£4. oo
<br />
<br /> RECE);VFi]) BY',',i ll;L. TYPi::'; CHECK ,Il::
<br />
<br />CONST~UCTION CEASES FOR A PERIOD OF 18~ D
<br /> - AYS~ OR IF CONSTRUCTION FAILS TO MEET ALL
<br /> E~UIR~NENTS OF STATE LAWS AND MARION COUNTY BUILDING AN~ ZONING O~INANCES~ THIS PER~IT
<br /> ALL BECOME NULL AND VOID.
<br /> : HEIGHT: ai:l~ AL, KS; F'F(
<br /> OEPT]Z[): BY : i)¢[?E S'I'ORJLES2 "~ -, ;'"'~
<br />
<br /> : ENERGY PATH: 1 SF'-'
<br />
<br />OFFICE COP"/'
<br />
<br />
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