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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: 888-7904 <br /> <br /> ~ H..LL ~,t<EEK~ E~YFA~'ED <br />WOOPBURN,, OR 97(~7! ~ SATE NUH~ER= 95-~9422 <br /> <br />gOT; <br /> <br />TYPE.- BUILDIHf, PER~IIT OPz APPLiCATI'DH NO= 9~6097;~ <br /> <br />PHONE: <br /> <br /> PAYEE: JOHN ROEI-IH <br /> RE:2EIVgD BY: pr ........ :: <br /> <br /> ~ THIS IS HOT ~ PERHI~:, <br />FOLLQ~IN~ HUST BE <br /> LL NECESSARY INFORMATION,! <br /> <br />PI.AH RE:VIE:W,". BY <br />,A.F lIC,, BY <br /> <br />(: ] l'Y ,.IUI~ 1. D .[ I,,1 ,I Di),, <br /> <br />PT~ <br /> <br />QUANT Z TY AMC}( H'IT <br /> S44,, <br /> S28,. ?S <br /> $2,, ?,'~ <br /> <br />$75.66 <br /> <br />,t~ 7 ,~ ,, 6 6 <br /> <br /> 63611 <br />TYPE: IN CHEgK ~:: 0 <br /> <br /> REViEO PROCESS WHERE THE <br /> RPPL[CAHT TO AS~U~E THCT <br /> <br />~CTION: <br /> PA'TI'!: <br /> <br />[:; ,',,/ <br />R S -- 6 <br /> <br /> OFFICE COPY <br />FORM # MO 15-56 REV, 4/~ <br /> <br /> <br />