MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG. NO. 225
<br />220 HiGH STREET NE
<br /> SALEM, OREGON 97501
<br />
<br /> PHONE 588-5147
<br /> CODE-A-PHONE 4:30 EM, - 8:00 A.M.
<br />
<br />lam porformlng work (~n a roperty I owr~ or occupy.
<br />
<br />Klxl I,~H~, ~I;CHAEL
<br />
<br />0509 STAYTON ROAD
<br />
<br />OR 97325
<br />
<br />SE
<br />
<br />CONTRACT CITY: UGS;
<br />,ARION COUNTY NO
<br />
<br />SUBDIVISION;
<br />
<br />OCCUPANTLOAD:
<br />
<br /> NO OFBEDROOMS
<br />
<br /> f'HONE: 769-'5'732 SITE NUMSER:
<br /> VALUAT I ON:
<br />LOT: BLOCK: SECTION: YOWNSN~P: RANGE:
<br />
<br />WIDTH: OEPTH; AREA; 1 ~7 UNITS: 9S IRREO LOT; ! ~
<br /> 8. 28000 AC NO
<br />
<br /> 3845
<br />
<br />ZONE: MAP:
<br />
<br /> EFLI 80
<br />CORNER:
<br />
<br /> N©
<br />
<br />,"v ):,~ ~ P4ECHAN [CAL
<br />
<br />...... ¢., ,.R HO.
<br />,Ix, ~ _,,I,: , Yl; CHAEL
<br />
<br />PERMIT OR ARRLTCAT/'ON NO:
<br />
<br />~8843,
<br />
<br />Pi'4()NE: ? eg--b
<br />
<br /> ~ 'r'E,,~
<br />DOMES= I S Mr3'.".;[]
<br />
<br />',-tECUAN i CAL ST'ATE
<br />
<br />©UANT I TY ,~,MC'L':",! T'
<br /> 1 $'? .'!'~ C:
<br /> ,,,r., c. ¢, c
<br />
<br />,~OT~L ~ESS~D FEg~
<br />PREVIOUS REuE~,T~
<br />THIS RECEIP~
<br />
<br />$22.22
<br />
<br />3.&LANCE
<br />
<br />;'/-',V'EE: ,.HI'.:, 4, , {vlICHAEL ,,,R~L;EIPT NC.; ~99~
<br />
<br />* TH~S ZS A VALZD PE~IT ~ ~H~S..PE~T:.,~Z;RES .186.,DA~S.'FR~ ZTS ZS~E DATE. ZF
<br />~ST~CTZON C~SES FOR A .PER.2OD .OF 1~0 ~S',.OR...ZF' ~ST~OTZ~ FA~ TO NEET ALL
<br />REQUIR~TS OF STATE ~ ~D'~RI~: ~NTY 8UILDI'NG AND'~ING ORDIN~CES. THIS
<br />~ALL BEdE NULL ~D VOID~ ',, v , ":', ' ' ' ' ' ,:
<br />
<br />3OHALD E 'AOOD',.Ev, MAR.ON~ CCDHTv BUILDING OFFICIAL / 8Y ~~ ...................
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<br />OFF~CI= COPY
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