| MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG, NO, 225
<br />220 H~GH STRI~ET NE                                                     ~ii, ~, ,~
<br />SALEM, OREGON 97301
<br />
<br />       PHONE: 588-5147 8:00 - 4:30
<br />     24 HOUR CODE-A-PHONE: 588-7904
<br />
<br />I am performing work on a groperty I own or occupy.
<br />lam areglsteredbuilderOF{( ) the authorized representative
<br />of a reQistered builder,
<br />
<br />LOAD:
<br />
<br />LOT:
<br />
<br />TYPE: DgELI. IHG    PF-F~NIT O~ APPLICA'FION NO:
<br />
<br />10445 '-IAzlfl_(JJ: N R9 NE
<br />
<br />    ]:TEN
<br />I}fdF'I.£.ING Bi.t)LDiNG FEE
<br />D ~i,;]_.l....[ NI; PLUMBING
<br />D(,!(, I._L1 NG ME[:HANIChL
<br />DNELLING ELECTR'[C~L
<br />BWF..LI,,,IN6 SI'~TE SURCN~REE
<br />OWEI_.LZi,IE PLAN REVZE~
<br />
<br /> ~ TNIS IS A VALID
<br />
<br />EQUIREHENTS OF ST~T£
<br /> ALL BECOME HULl. AND
<br />
<br />       61215 DP
<br />ARCIIITECT/EN&]HqEERv ND,,
<br />
<br />PNONI=' =
<br />
<br />C~I./AN T I TY
<br />
<br />A N 0 U Fl T
<br />  $185,,
<br />
<br />.(:'!mi':tfi,.i~ :,       UY,, 1 ,,,,, ~.1,~ CLJUi, I'fY J~ U Il D, Fl(:, OFF ].(':IpX, L / OY
<br />
<br />                                                 FROM ITS ISSUE DATE. IF
<br />                            FAILS TO MEET ALL
<br />                   AND' ZONIN~ ORDINANCES~ THiS PERMIT
<br />    ' '                                                                q .'-r ;/' ~-'" '- '"
<br />, ' '           ,"                 HE:ICHT~                            ,.E,I, ,.,k,.>.  r-R ;.'.F~
<br />                                     ,B~AL ~Q ET,,              %:156                     ,.,~ ".
<br />
<br />                                    F L~I.,, ~(;TION~ .....,, .... ,
<br />                                    ENFRGY P~-F'I'.I[.~'';."
<br />
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