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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br />PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br />I am performing work on a property I own or occupy. (~' ~ <br />of a regbtered-~ builder, <br />Other. <br /> <br /> }'G;' :'S :'F;' <br />SITU~ ADDRES~L <br /> <br />CONSTRUCT ON TYPE: O~6~AN'~Y: .. f: ... <br /> <br />TYPE= DOELLZH~ <br /> <br />COHTIRACTOR <br />:fl :.: B~: E.~ <br /> <br />PERMIT ~R AP?LTCATTON ilO: 9,~4&~91 9P <br /> <br /> fqF~C" ["'~ C;T/Fj', ~'1J~::'F I:(', <br /> <br />DWEL. LINI::, I~U;[I...L~]:i,IG FEE <br /> <br />DWEI. L :f i,~[; S'TAT]~; <br /> <br />DU[EL..L.];Iq[; ZONIN6; SL~RCH¢~F~[;E <br /> <br />PI,,;(~ Ni;_{: <br /> <br />PI.R E V Z 0 Li,r:~ Fi.E Cl:: :ff>T S <br />T -;TO' rd::'CF 'f: F,T <br /> <br />Q A,i"f'I TY <br /> <br />,l:;' T Y JU R I S D ]: C T ]: Oht '.: '" :D A <br />FIE ~ fdRKS',', D!::' ~: <br /> <br />~on~ # u¢ f s-~ R~', ~ OFFICE COPY <br /> <br /> <br />