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MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Streat NE * Room 132 · Salem, Oregon 97301-3670 <br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inapection Line: (505) 588~7904 <br /> <br />]:NSPEC'f']ZON <br /> <br /> Et'~erg¥ I::'a'bh: <br />!i;i'l::e m.,.~,d:~er; 95.-.0~¢540 Per~,~i'[." :11:: 6].:LS8 Setbacks I::'R'.: <br /> <br /> Activity: I,IEW Issue Da'be: <br /> <br /> Owner: TAYLOR., DAI...F F'hone: <br />Job 8ddr'e,,'? ',J. 368~ W]:STERIA Df4 NE Cross <br /> AUI:~OF~ OR <br /> <br /> Cont'rac't:or: Roth Zachery ]--leat.'ing <br /> <br />FORC AZR I=UI:~NACE UNDER :1.~ BTU <br />GAS CONNECT];ON 1 <br />[;AS WATIER HIEATER <br />F'eF~,lit ~"eqt.t;i.f'e~leYv['!~: WH,, GL,, F'UEN <br /> <br />L,'=~st f'eques't':ed :i.'r~spe(.':'[:':Lo~'~: <br /> <br />By: ........................................... ~.. <br /> <br /> <br />