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MARION COUNTY BUILDING INSPECTION
<br /> .S~NATQ4B BLDG, NO, 225
<br /> 20 HaH STREET NE
<br /> SALEM, OREGON 97301
<br />
<br /> PHONE 588-5147
<br />CODE-A-PHONE 4:30 RM, - 8:00 A.M.
<br />
<br />SITUS A00RESS:
<br />
<br />CONSTRUCTION TYPE; O~UPANCYI
<br />
<br /> ,%8',"%',/-' .. L E ':~',~:~9'7325
<br />USE OF BUILDING.
<br />
<br />MAILIN6 ADORESS: 8UBDWISION:
<br />
<br />LOT: BLOCK SECTIQN: ~WNSHIP:
<br />
<br />WIDTH: DEPTH: AREAZ
<br /> AC
<br />
<br />; ¢6NTRAOT clY~,. UGH: O6CUPANT LOAD:
<br /> ....... UN, Y
<br /> NO. OF BEDROOMS:
<br />
<br />MAP:
<br />
<br />TYPE: MOB~L.~' ~:.L)v¢ .....
<br />
<br />CONTRACTOR, NO, 38238
<br />S/*,lkt Lt,,r,,l VALL_EY HO~BS
<br /> ' :373 'v!?...LCDEE~ BO SE
<br />&L.rr~SVTL:,E 0;:: 9?325
<br />::'. iON B;
<br />
<br />PER'vp:T OR ,/,',.P,c',LICATIQN NO: 9018978
<br />
<br />~,'X.)8]LE ~'{O¢.'E 8ASS FEEl
<br />~"'OE! ;i..E {OPE '.:W,,,',*~ ~[".'E
<br />
<br />':',,!:ET SC:~CH&;;:(_',E ,,Z,:}NE-,
<br />M(];Et:t.E h4,"')'v!i? 3]'5r]
<br />
<br />BALANCE' DUE ::' ',
<br />
<br />8:EC:;: v'f'~: ~;?',' .
<br />* THIS iS NOT A PERMIT, ~I
<br />FOLLOWING MUST BE COMPLETED.
<br />ALL NECE~ARY INFO~TI~
<br />
<br />Z OfW,?',(: S ",,, ~.,_~. ..... DATE
<br />
<br /> ',QLIANT Z -FY A?OLINT
<br /> $89.
<br />
<br /> $5.2.:_;
<br /> $3,84
<br />
<br /> $ 3.3
<br /> $: t9 .'?i
<br />
<br /> :~, 9.88
<br />
<br />NO :: 2012 ;)
<br />:,'CHECK ~: 3~
<br />'Z~ PR~E~ ~ERE THE
<br /> TO ~E THAT
<br />
<br />
<br />
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