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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: 588-5147 8:00 - 4:30
<br />24 HOUR CODE-A-PHONE: 588-7904
<br />
<br />of ¢ roBistered builder.
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<br />CATEGORY~
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<br /> AUROR~
<br />USE OF BUILDING'.
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<br /> , coN'FRA~T C~TY; UGB:
<br />FIE
<br /> MARZON COUI'FFY FI[,I
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<br />SUBDIVISION:
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<br />OCCUPANT LOAD:
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<br />LOT:
<br />
<br />F
<br />, NE:;; 678--/,',:~4r/j
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<br /> BLOCK:
<br />
<br /> V.ALUAT ION~
<br />TOWNSHIPI RANGE: ZONE:
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<br />MAP:
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<br />PERMIT OR APPLICATION NS:
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<br /> SUPERV]:S,f, NG
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<br /> (.;NJA Fll':l: T Y A ,[Uljl4."'
<br /> )':~I',~AI,li.',It CIRCU]TI., bD:Ti.-~OLFf SERVi[;Ii.' OR FEEDER .... 1. CT C:(RCUIT 1,
<br /> ~]..E[;TR~CAL S fA'l'g SURCHAf,~E $1,, 75
<br />
<br /> lfl].S I]I.,.CE. III $,~6,, 7,.,
<br /> I~ALAIqCE DUE $0,,
<br /> PAYEI[~ ~:i].].ii}PI l< Er)FJ e],l~art I~[..[.,I.,.,I,F [ lq(h; 4779,
<br /> Rt~',t;~L[VE~) BYz 0~,'~ ...................................................................................... TYPE: ¥,;K CHECK ~lq~
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<br /> THIS IS A VALI} PE flit A THIS PERMIT EXPIRES 18 D , FR IT IBS ~AT . IF
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<br />5HRLL ~ECO~E NULL ANO
<br />
<br />LLMAkK,.~,, .I.I,.I,l'~ F'OR GAS PIIMP BEHIND SHi]P
<br />I)ONAI. D E,. WOOI)LEY,~ MARI[IFI COlII,tI'Y [:dJT. L]);I]4(; (]F.'r:.'IC,;[~I. / BY.,~' .....................................................
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<br /> OFFICE COPY
<br />~M # MC 15.56 REV, 4/90
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