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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: 5@8-7904 <br /> <br /> SIGNATURE OF APPLICANT: <br /> DATE: <br /> <br />; $[TU~ ADDRESS'. .......... TYP~i ~ (~JI~AN~i ..... <br /> I ~ [ <br /> <br /> ~ SU~DmXI~I~ .......... ... <br /> ~ ~ BOX ........ <br /> <br />TYPE: BUILDING PERMIT OR APPLiCATZOH NO: 47453 <br /> <br />[:;CRY Lee Hayes <br /> ~ ~, .,. X <br />Sa ;I.e~,~ 97S0%'8215 <br />PHONE: 581--27~;8 <br /> <br />PL.AN <br />BU}:L,,I) I N{; S-FATE <br /> <br />P!"[O NE; <br /> <br />i L!~ i.t.. ASSI:,SSED FEES <br />F,~:3¢ ,.0U.~ RECE IF'-FS <br />l~'d.S <br /> <br />QUANT:[TY <br /> <br />AMOUNT <br /> $44,, 50 <br /> $28.93 <br /> $2.23 <br /> <br />$75,, 66 <br />$75,, 66 <br /> <br />BALAN~:?:: SUE $~u OB <br /> <br />PAYEE~ <br /> <br /> * THIS iS A VALID PERMIT. THIS PEBMIT EXPIRES 188 DAYS FRO~ ITS ISSUE 9ATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 188 ~AYS, OR IF COHSTRUCTiON ~AILS TO ~EET A~L <br /> EQUI~EMENTS O~ STATE LAWS AND MARION ~OUWTY BUILDING AND ZONING OR~IHANCES~ THiS PERMIT <br /> ALL BECOME NULL AND VOID. <br /> <br /> HEIGNI'~" 12 SETBACKS',', FR 2~ <br /> TOTAL SQ FT: 0 LS'"'8 <br />EI,IE'Ri~Y PA'i"H: STO!:.' I ES: 2 RS'-'29 <br /> P ;...A H, ACT]:0N: RR"-8 <br /> ENE~Y PA'TH: 3P-" <br /> <br />REH~,IT'(S~: ~tIl:~¢l~t~ ~,iiE;~ ROOF OVER EXIST):NG F'OR,',:;H,j AL'~ERATION TO i,,IEA'FE:D~ LIVING SPACE <br /> <br />FO~M # MC ~ ~-~ REV, ~/~ OF FJCE COPY <br /> <br /> <br />