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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 /> <br /> I am a registered builder OR ( ) the aumorized representative <br />) Other. <br /> <br /> PREVZOLI~ RECEJ;PTS <br /> <br /> ~ALANCE DUE <br /> <br />* THIS IS NOT A PERMIT, THIS APPLICATION MUST GO THROUGH A REVZEW PROCESS WHERE THE <br />FOLLOWING ~UST BE COMPLETED. IT IS THE RESPONSIDtLITY DF THE ~PPLIO~T TO <br />THAT ALL NECESSARY INFORMATION HAS BEEN PROVIDE~, <br /> <br />OFFICE COPY <br /> <br /> <br />