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MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG, NO. 225
<br />220 HIGH STREET NE
<br /> SALEM, OREGON 97301
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<br /> PHONE: 586-5147 6:00 - 4:30
<br /> 24 HOUR CODE-A-PHONE:588-7904 ~ ~ ~
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<br />I am a registered builde OR ( ) the authorized representative 8~G A U 0 ~ ...... /~"~..._~'T...
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<br />LOT: BLOCK: SECTION:
<br />WIDTH; ,DEPTH.
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<br /> SITE NUMBER:
<br /> VAL_U¢ ,
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<br />TOWNSHIP'
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<br />$1.32,7~2,,0¢
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<br />TYPE: DWELLING
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<br />PJ':O N E: '? 69 -'-77 ¥ 4
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<br />PERMIT OR APPLICATION NO: 9~46391 DP
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<br />F:' i-! G fie:
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<br />(2 U A N '1' ;i: f' Y
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<br />$ !? 6 4 ,, 9 9
<br />$ c? 6 4 ~ liz 9
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<br />FOLLOWING MUST BE
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<br />LL NECESSARY ZNFORflATION HAS BEEN PROVIDED.
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<br /> ~);M:',',', ~'( ~'"'-;] .................... ~T~'"'~E~-%':~':"~'~ .......
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<br />PLAN,, ACT ]: Cl!,l:
<br />I;;;NER(; Y PATH:
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<br /> F~E:;'!,~Fii'('3:~ I)WELL'.U,~C ANI)""'~'lT!:F"l,lEi;11'O RF/,7~SE.,,,'~'"S]'TE i,:'i.,,f~ ., --
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<br /> OFFICE COPY
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