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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 />I am performing work on 8 property I own or occupy. <br />I am ~. registered builder OR the authorized representative <br />of ~ registered builder, <br />The work will be per[ormed by a registered builder, <br />Other_ <br /> <br />I have read and agree [o the terms stated on the reverse side of <br /> <br /> OWW~a:'D,4TE;: 017307~5 .... TIRE;' ............ 1' YX'~' LOtl Y. ~AfEEO~Y: <br /> S~fOS x~'];I~E ~;I'~F:~:I S ~-~12,~2~ t DEN <br /> '. [CONSTRUCTION TYPE; ,¢ OCCUPANCY: <br /> <br /> 870 LINCOLN S1 -- <br /> <br />J h-"' "AUMs~v'~'b t:E, <br />, K:J]Z~R. (R ?7;~9;~ [ SITE NUMBER: <br /> Ff ,~E,, ~0 785~ VALUAI~ON <br /> <br />TYPE= DWELLING PERNIT OR APPLICATIOH HO: <br /> <br /> ITEM <br />DWELLING BUILDING FEE .i, <br />DWELLING PLUtiBING .::':' ; <br />DWF-:i,,I,,,;[ I~16 MECHAI,I]~OAL <br />DWELLIN(:; ELECTRICAL <br />DWELLII4(', STATE <br />i')WI;..ll..1..II,IG PLAH REVIEW <br /> <br />FAYEE, <br />RECEIVED ~' * <br /> ~Y. <br /> <br /> 688~1 DP <br />ARCHITECT/ENGINEER~ NO. <br /> <br />ITS ISSUE DATE. IF <br /> <br /> ~ THIS iS A VALID <br />CONSTRUCTIOH CEASES FOR <br />E~UIREMENTS OF STATE <br />ALL BECONE NULL AND <br /> <br /> PATH: 1 <br /> <br />[-t~:iI,iAI'.;H,~S~: NEW RES --AUHSViLLE MEADOWS: <br /> E,, WOOD.L. EY, MARIOn} COUNTY }~UII_DING []FFICIAL / BY <br /> <br />STORIES: <br />PLAN, ACTION: <br />EHER(;Y F~TH: <br /> <br /> FAILS TI) MEET ALL <br />ZONIHr. ORDINANCES, THIS PERMIT <br /> <br /> 0 SETBACKS: FR 20 <br /> 1582 LO 5 <br /> <br /> S P ~ ........... <br /> <br />OFFICE COPY <br /> <br /> <br />