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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 registered builder, <br />The work will be pedormed by a registered builder, <br />Other. <br /> <br />this document. <br /> <br />AOMSVZLL. E OR 97325 <br />Fi,,~0 N E ~', 749-3335 VALUATION: $5~. <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION NO: <br /> <br />CONTRACI'OR,~ NO., 83524 <br />Thcma~ C Dec, k~,,r <br /> .,0,. Na:i,n P0 Box :1.158 <br /> <br />PH0hE;: <br /> <br /> 4777~ <br /> <br />ARCHI TECT/E~4G I NEER,~ N0,, <br /> <br />PHONE: <br /> <br /> ]:TEN QUAI~TITY AMOUNT <br />BIJtl_OZNG FrEE $:L~.,00 <br />PLAN REVIEW $6,,50 <br />BUZLDING STATE ~[,JRCHAI:~(;E $0.50 <br /> <br />F'I& Y E E' ~ <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS ~ .... <br /> ,~-~EIFT <br /> <br />$ :l, 7., 0~ <br />$t7. <br /> $0, <br /> <br />I~ALAI,ICE DUE: ii~C~,, 00 <br /> <br /> I~EO[[]'V!i~) i:Yf:: I;;'3 TYPE: CHECK :~;; 0 <br /> * THIS IS A VALID PERMIT. THIS PERMIT EXPIRES 18~ DAYS FROM ITS ISSUE ~AT~. IF <br />CONSTR~CTiQN CEASES FOR A PERIQ~ OF 180 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br /> EQ~IRE~ENTS OF STATE LAWS AND MARION COUNTY BUILBING AND ZONING ORDINANCES~ TNI~ PERMIT <br /> ALL BECOME NULL AND VOI~, <br /> <br />HEIGST: SE'FBAC,~S,~ F'R 20 <br />TOTAL SQ FT: 0 LS'"'5 <br />S,O .TLS. RE; '5 <br />PLAN. AC ~ .t. 01 I; RR -'5 <br />ENERGY PATH;; SF':] ...... <br /> <br />DONAI...!) ~1::.. WO(3Di..fEY,~ HAi::Ci:£)f'~ COUNTY t.i..li[LJ)..NG O,'I-I,.,.I. AL / BY ...................................................................... <br /> <br /> <br />