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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 4:30 RM. - 8:00 A.M, <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> OATE; <br /> <br /> ' ,,"" ,:,~:i",!E ~. ,~, ?,~ L <br />SITUS AO~RESS: <br /> <br />TAX LOT: <br /> <br />CONSTRUCTION TYPE: <br /> <br />UGS: <br /> <br /> NO <br /> <br />OCCUPANCY: <br /> <br />NO <br /> <br />MAP: <br /> <br />'* T?'flS IS A VALID PER:NIT <br />CONSTRUCTION CEASES FOR <br />r4EQUIREMENTS OF STATE <br />~ALL SECOI"4E NULL AND <br /> <br />.... ~ f ;','I.A'-";[:}N COLINTY I%iZLCZNG OF~-TO.%aL.. / BY <br /> <br /> ~"TS ZSSUE DATE, <br /> FA~LS TO NEET ALL <br />lNG ORDIN~CES, TH~S PE~'.~T <br /> <br />FORM '~ MC 1~-~6 R~V II/~$ OFFICE COPY <br /> <br /> <br />