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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG NO 225 <br /> 220 HIGH STREErT NE <br /> SALEM: O <br /> <br /> PHONE:: 588-5147 8:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE:: 588-?904 <br /> <br />' am perform,rig work on a property I own or occupy <br />I am a registered buddof OR ( ~ the authorized repleSentativo SlGNATUPE OF ~PPl ICANT <br />Of a registered budder <br /> <br />L)A f E: 0?/23/9[; f IMP,, ' <br /> M~'-Rf'4 LMaN, LbL:I. L b" ..... <br /> <br /> '----Ok 97002 <br /> <br />S~NGLE P4MiLY DWELLINGS <br /> <br />TAX LOT CATEGORY <br /> <br />COUNTY NO <br /> <br />SU BDI V'ISION <br /> <br /> VALUAT ZON: $4,000_00 <br /> <br /> l ~ 45 2W ~'U ~ <br />WIDTll OEPIH ARE~ ~q, UNITS ~C IRREG LOT YES CORN~O <br /> <br />YY?k '.¢,i. ilLU~NG P.~RNII~ OR APPLICAIiON NO: 9025838 <br /> <br />C NI~'<.'*'(;fOR, NC)NC)¼~K ~"' ' · ' ' <br /> RCH 1 f ECf/~.N(C,f. NE~,R, NO ,, <br /> <br />d,,.N ~, PH Oki ~; <br /> <br />~)UANIiIY <br /> <br />$44. bO <br />$:2,23 <br /> <br />PR~VIOU~ RECEIPTS <br />fH~ R~CEIP[ <br /> <br />::~Ef;~V~IZ') ~JY '}{~'~ ~ ~YPg: CK CH~CK ~: 3334 <br />~ ,i-~Ui) ;5 NUl ~ ~kMIf. THI~ APPLtCATi~ ~UST GO INR~GH A REVIEW PROCE$3 WHERE THE <br /> <br /> OFFICE COPY <br />FORM # MC 1 ~-G6 REV 4'~0 <br /> <br /> <br />