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MARION COUNTY <br /> BUILDING INSPECTION <br />Senator guxlding ,, 220 High Street NE · Second Fk)or · Salem, Oregon 9'7301-36v0 <br /> <br /> Office Hour~:: 8 00 - 4 30 Phone 588-5147 24 Hour Code-A-Phone 58~-q904 <br /> <br /> ZNS~EOTZQN REQUEST <br /> <br />Ins~oti~ Pole ~I~ ~te r~: ~/16/91 In~ m: ~/16/91 <br /> ~ln9 (~tba~) Ti~ pec: 7~17:25 <br /> <br /> Site nu~: I~76 P~mit <br /> T~ ~t: 5-N ~te~y: RESIDENT~ LS:iO <br /> ~9Y: <br /> <br /> Ova'~sr: ~ORRI$, RICED <br />Job aO~res~: 4557 DU~O~E DR SE <br /> AUMBVILLE OR 97525 <br /> <br />Comtr aotom: <br /> <br /> Phone: 581-7877 <br />Croe~ Street: JORDAN ST SE <br /> <br />Phone <br /> <br />Permit requ£rem~nts: STG/~qOP BLDG R~6641 <br /> APPROVED FOR PRIVATE ~CI~ ~ ~Y <br />~t~: B~ORE ~ <br />Last re~e~ed in~l~ ~te: <br /> <br /> .......... <br />Insured <br /> <br /> <br />