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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 />~ O~het .... <br /> <br />8[GNATURE OF APPLICANT <br /> <br /> 13570 WiSTERiA DR <br />AURORA O~ 97002 <br /> <br />NO' <br /> <br />O¢CUP~N? LO^J~ <br /> <br />TYPE: BUILDING <br /> <br />CON f RAC~OR. NO. <br /> ALTA <br /> <br />PERMIT OR APPLICATIC~ NO: <br /> <br />ARCH~TF.,-C,T/I!i~NG~NEE. R, NO. <br /> <br />PHONE: 678-178B PHONE: <br /> <br /> I~EM <br /> <br />PLAN R~iE~ <br />BU~LDIN~ STALE ,~¢JRCHAF~E <br /> <br />qUANTI1Y <br /> <br />TOTAL AE~I[E~ED FEE~ <br />PREVIOU~ RECEIPTS <br />THIS RECEIPT <br /> <br />~50.50 <br />$2.63 <br /> <br />$88.39 <br />$88.3g <br /> $o.0o <br /> <br />BALANCE DUE $0. O0 <br /> <br />pAYEE: <br /> <br />* THIS [~ A VALID PE~4JT * THi~ ~ERM[T EXP[R~ 180 OAY~ FRC~ [TS [~E gATE. <br />~T~CTI~ C~ FOR A PERIOD ~ 180 ~, OR IF ~T~CTI~ FAI~ TO MEET ALL <br />RE~IR~T"S OF STATE ~ ~D ~Ei~ ~TY BUILDI~ ~g Z~[N~ ORDiN~CE~, THIS PE~IT <br /> <br />SEI'SAC.,Y~= FR / L.~ 9* RS TO RR 30 <br />R~RK~: STOPC~Gg AD~ ATTenD TO ~I~E-~T <br /> <br />HEl~'r: TOTAL ~ ~T: 300 STORI~: <br /> <br />~ALO ~. ~DL~, ~Ri~ ~NTY ~iLDiN~ OFFiCiAL / 8Y .......................... <br /> <br />OFFICE COPY <br /> <br /> <br />