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MARION COUNTY BUILDING INSPECTION <br />SENATOR I~LDG. NO. ~5 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97501 <br /> <br /> PHONE:588-5147 8:00- 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />lam are~isteredbuilderOR( ) the authorized representative <br /> <br />"the work w))l be pedormed by a r¢~istered bu))der. <br />Other <br /> <br />¢MAILIN~I ADDRESS:N'~J~[UE'A C TJ2EE]).~i¢I]TxU£IU~E ............................... i,,u%DiVi~iC~.I ........... <br /> (,JOO~)BURN~ OR 77~'71 r SITE NUMBER~ <br /> F'HONE'~ ~81'-'3].~ 1 ~ VALUATION: <br /> <br /> " , · ........ i i ~ " <br /> <br />TYPE: HANUPACTURE~ STRUCTURE <br />COi,)TRhC'TOR,, NO,,11z ~22-.. <br /> CONH Woof:If)urn lh'~c <br />285 S r'aci'F:~c Hey <br /> <br />PHOI,IE~ <br /> <br />PERH'rT OR APPLICAT~OX NO.- <br /> <br /> £ <br />NF)NUFACIURE. D STRUCIURE PI..~,CEH£N'¥'/CONNECTION <br />I4ANUFACFURF..I) ST~I]CTURE SrAI'E <br />NANUFACTURE~ STRUCTUI.~E STAT~ SURCHARGE <br /> <br />PAY)L"E: JOHN ROEl')il <br />RECE1VFD I~Y: <br /> <br />F~UANT :i; TY AHOUN-F <br /> ¢,:L 82,, Ofi) <br /> '~20.00 <br /> <br />FEES <br /> <br />· , ~'. I l..[0 <br /> $2 ~,:L,, 10 <br /> <br /> ]:NVOi CE 6361. 0 <br />TYRE:' IN OHECK. %: 0 <br /> <br /> EEV[EW P~OCES~ WNE~E THE <br />'THE APPLICANT TO AS~U~E <br /> <br />OFFICE COPY <br /> <br /> <br />