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MARION COUNTY BUILDING INSPECTION <br />SENATOR SLOG, NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> 'PHONE 588-5147 <br /> CODE-A-PHONE 4;:30 P,M, - 8::00 A,M <br /> <br />i am & registered budder OR ( Itheauthorlzed representative <br /> <br />35/ /?7 -; '"T: ,3'o <br /> <br />SIGNATURE OF APPLICANT <br /> OATE <br /> <br /> TAX LOT <br /> <br /> CONSTRUCTION TY~E <br /> <br />: -¢',', %7'-:2S <br /> <br />CONTRACT CITY <br /> <br />uSb OF BUiLOING <br />MAILING ADDRESS <br /> <br />CATEGORY <br /> <br />DDCUPANSY <br /> <br />OCCUPANT LOAD <br /> <br />lOT <br /> <br />WIDTH <br /> <br />2:52 <br /> <br /> BLOCK <br /> DEPTH <br /> <br />",",r 8UILDING <br /> <br />RANGE ZONE <br /> <br />tRREG LOT CORNER <br /> <br />1399 <br /> <br /> MAp <br /> <br /> TEN <br />TECHNICA. L REVIEW, FINAL 7f',iSPECTION <br /> <br />,, :-: 0 STn~'Tc~-~ ~ PLaHNI;bIG ,~"? <br /> <br />OFFICE COPY <br /> <br /> <br />