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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 *uthorized representative SIGNATURE Off APPLICANY%~ <br />of a registered builder. <br />The wor~ wilt be periormed by a registered builder, <br />Other <br /> <br />th[~ document. <br /> <br />_ AU~S~ILI..,E ' OR 77Z25 .... LHA : ZON COUNTY ~ NO ,' <br /> <br /> PHONE: 749,..,296~ ~ VALUATION: $~,. <br /> <br /> 9~52085 <br />AF ,,ll.r. fECT/5, l~ ,,Z EE-,, NO. <br /> <br />PHONE: 749.,,,2962 ' ...... 4 <br /> ITEM ~: <br /> <br />RF_:.CE]:V¢_:D BY: L.D ;::: <br /> <br /> ~ THIS IS HOT <br />FOLLOWIH~ MUST <br /> LL NECESSRRY <br /> <br />QU~N'TtTY <br /> <br />AM ],,..' N T <br /> $0,, ~)[t <br /> <br /> Chf':CK '~: <br /> <br />llGH:: A REV~'EW PROCESS ~HE~E THE <br />OF :THE ~PPLICANT T~ ~SSURE THaT <br /> <br /> ,¢ ~ A(,K,~,. <br /> <br /> ~;~-. <br /> <br />Fonu ~ uc ~-,~ ~. 4~o OFFICE COPY <br /> <br /> <br />