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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 <br />CODE-A-PHONE 450 PM - 8 00 AM <br /> <br />I 8nl performing work on a property I own or occup~ <br /> <br />of a registered bdUer <br /> <br />SIGNATURE OF APPLICANT <br /> <br /> DA; E <br /> <br />,~ENDR .... <br /> <br />OR 9? 32!¢ <br /> <br /> TAX LOT <br /> <br /> CONSTRUCTION TYPE <br /> <br />CONTRACT CIT? UGB <br />~1,~ q ! Oh,! COUNTv NO <br /> <br />'%E~!_:'v'?f'Y, DE 9'f3 ~5 <br />>HONE:: 759-824:1, <br /> <br />LOT BLOCK <br /> <br /> VALLAT1ON <br />2,3 ~,,,~,_,:- '- '- ~ '~ ~C NO NC; <br /> <br />COb,F!' Fa ", 0 '"'O'% NC 10297 <br />i :CENSE NO: <br /> <br />::? 28'5 S j ,--NN ! E rRB <br />' ¥(.)N%~ ('~f;"~:!:~,O~ 9 ? 559 <br />'.>~ ' O1": :' 85g-22 ~-", <br /> <br />SL PE'qV[S!NG EL(C? ~! '~ C I '5, N/'IxU~v F E~; <br /> <br /> i" ElY' <br />~'¢OE¢.rLE HOPE CONNECTION <br />r-/l SERV 20 I-.¢C0 ~"¢?,5 <br />F~ BE-" ~UF:Ck:A:-*'GE ,~ZQNE <br /> ECTRiCM_ :3q~TE SL.IRC!~GE <br /> <br />PAYEE: GRI S~OLD <br /> <br />TOTAL ASSeSSeD FEES <br />~REVIOUS RECE!PT3 <br />THiS RECEIPT <br /> <br />DUE t~¢., ;-] <br /> <br />RECE.TpT NO: * ~ :'* <br /> <br />~71:~CB[vE0:3Y' 0t'~! ...................................... TYPE: CK CHECK ~', 5~ <br /> <br />~ .'FHZS ES A VALID PER~ZT ~ TH[S PERfi~[T E:KP[RES 180 DAYS FROM [%S ISSUE DATE. [F <br />CONSTRUCTION CEASES FOR A PERIOD OF t80 B~YS, OR [F CONSTRUCT[ON FAILS TO ~EET ALL <br />~EQUZRE~ENTS OF STATE LAg,~t~ AND I'4AR[ON COUNTY BUILDING AND ZONING ORDINANCES, THIS PER~ZT <br />SHALL 8ECOVlE NULL &ND VO[D_ <br /> <br />q'."¥~4?KS.,,''¢'¢,, M4P SERv !:Or~ IvlH & GARAGE & NIH CONN ~J,'~7069 <br /> <br />0,,N,n,.,.D E- 40,r] BY, KA,c,.EON COUNTY BUILD!NS OFPICI~.L_ ,/ E~v ........................._~_ <br /> <br />OFFICE COP'/' <br /> <br /> <br />