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MARION COUNTY BUILDING INSPECTION <br /> SENA'fOR BLDG NO- 225 <br /> ~ 220 HIGH STREET NE <br /> ' , ~ . SALEM, OREGON 97301 <br /> <br /> ' ~ PHONE:588-5147 8:00- 4:30 <br /> 24 HOUR O, ODE,A~PHONE:: 588-7904 <br />I am ,erform,ng work on a propetl'y I owr~ or ~ccupy <br />I am a registered bu der OR ( ) the au hot zed represen a ye S <br /> , - <br />The work will be per[ormed bY <br /> <br />this document <br /> <br />'b~i,e'~ 1--'~?-0~'/16/91 <br /> <br />s~TuS ~5'h~%-~RS~4'~--JO6 ....................................... <br /> <br /> 11753 WARBLER LANE <br />AU~__ _.~TRQ2 <br /> <br />~E: 15: 49: 29 r^x LOT CA'f EGORY <br /> <br /> co.~Zdf'~i¢,~ l' ~-'-~-'-i ....... "~c'~7~¥ L8~3- .......... <br /> NE <br /> <br />MANUFAC r URED S rck~JC rURE <br /> <br />PHONE: 636-7918 ~'"~ <br /> <br />fYPE: f~ANUFACIURE0 S~RLICIURE P6Rl~41r OR APPliCAtiON NO: 9035~9~ <br /> <br />CONT~CTOR. NO. 51964 <br />HARRISON HQ~E~ <br />132~3 5E MCLOUGHLiN <br />MiLN&UKIE, ORE 97222 <br />~E: 654-0285 <br /> <br />DtANUFAC'fURED srRuCIURE PJ,~ACC_3viE~IF~OONNECT~ <br />MANUFAC]URED ~IRBClURE <br />f~C~NUFACTURED ST~LIC'FURE <br />~kNUFACTUREO S1RUCTUR6 <br /> <br />QUAN'IllY <br /> <br />AIr. NY <br /> <br /> $~o.0o <br /> $9_~o <br /> $~5,00 <br /> <br />$o.oo <br />$225_10 <br /> <br />PAYEE: JOE GREEN INV. INC.i RECEIPT 3?090 <br /> <br /> THIS i~ NOT A PERMIT+ <br />FOLLJO~INGD1UST BE <br />~ NECE~)~RY INFORI~TION <br /> <br /> PROC,5.q..~N'fERE THE <br />APPLICANT TO ASSURE THAT <br /> <br />0AlE <br /> <br /> <br />