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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
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<br /> The work will be performed bY a registered builder·
<br /> Other
<br />
<br /> this dopument,
<br /> DATE: 0612~i~f93 -!":tiME: *" :'"" ':
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<br /> 'M~V.," '[=..I ...... Q~;~ (-// ~¢=, ~ ~AC~,~I~ , U~ OCCUPANT LO :
<br /> '"~"~ ' .: ' ................. ' A6 ,
<br />
<br /> ,.',...-r¢'Z' OR e/,,ei
<br />
<br />L ¢ ................ J .................
<br /> "' IYPE: ~LUHBZN6 PERMIT OR APPLICATION NO: 48~51
<br />
<br />I 'l'EM
<br />NAI'ER I,.;i:l,lES, ;LST iO~g FEET
<br />t,;ATER I.,iNE!~: Fo',. A!)DL,,, :[~0 F'EE"F
<br />E~E~EZR I,.,INES; ~[ST ],,~ FEET
<br />$.:,~¢Ek I....I.~,H,,:.,~, ~:~,, ~¢,¢L,. .I,~B FEET
<br />' M ..... ;'¢ ',';7
<br />F/.,U ~I S A .- ~..~I Aid
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<br />· A Y,,,J' ....
<br />Rl~lgE I YE'l) BY:
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<br /> TOTAL ASSESSED FEES $¢_ 0;~7,.00
<br /> I:Rr.V.LOU~ RECEZPTS !12,037.
<br /> FH;~S RECEIPT $~.
<br /> B~[.AFICE DUE $~.,
<br /> I!qVOICE NO:
<br />............................................................................. TYPE: CHECK ~ ~
<br />
<br /> * THIS tS A ~ALID PER~IT * THIS PERHIT EXPIRES 180 DAYS F~O~ ITS ISSUE DATE. IF
<br />CONSTRUCTION CEASES FOR A PERIOD OF 188 DAYS~ OR IF CONSTRUCTION FA~LS TO MEET ALL
<br />
<br /> ALL BECBME HULL AND VOID.
<br />
<br />~)£!J4,~.!,,D Iii., ¢TCf,~ ...:. ~ NPR]iO,N C0i.;if'!'¥ ,,. .......... ~,.~ UFi::':I?,.LAL / ~¢Y . ...........................................................................................
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<br />Fma~,~ ~ ~.~ a~v, 4~ OFFICE COPY
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