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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97'301 <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 property I own or occupy. <br />la~aeegistered builder OR( I the authorized representative <br />of a registered builder. <br /> <br />]CATEGORY: <br /> <br /> MAILING ADDRESS; i SUBDIVISION: <br /> <br /> x.I .... ~,. PA£;;FF-;!:C; J..lt!Y <br /> 1~O0~,2URH,, OI.;.' 77071 STTE NUI'IBER; <br /> ~ VALUATION: <br />,~T; ~ BLOOK{ SECT ON I TOWNSHIP[ ~ RANGE'. I ZONE: MA~ <br /> <br />TYPE= BUiL]B:ING PERMIT OR APPLICATION <br /> <br />Cf)N't RAfF;'f OR, NO,. 96'3S5 <br /> .;OHI,~ RI]EIt~ CGHSTRUCT]:OI,1 , <br /> <br />PHONE:::, 82S"-487, S ~ PHONE: <br /> <br />ARCHI; TEC,'I'/EN¢ ZNEER,, NO. <br /> <br />:;FEES <br /> <br />RF:CE IV£:O BY: <br /> <br />l!f~.,l(~! l; .",. ;lO(;;:hl. i.r",',~ PIA!,::i. DN COUNTY BblI..~).[N~., Of-.r....i.~L / BY <br /> <br />E~UANI'Z TY <br /> ¢44,, <br /> <br /> $2.. 2"!; <br /> <br />ZT~ ~SSUE ~ATE. ~F <br /> FAILS TO HEET ALL <br /> O~INANCES~ THIS PERHIT <br /> <br />300 <br /> <br /> OFFICE COPY <br />FORM # MC 15-56 REV, 4/90 <br /> <br /> <br />