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MARION COUNTY BUILDING INSPECTION <br />SENATQR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00- 4:90 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I ~m perfo¢~i~9 work on ~ pro~erty f ow~ or occupy. <br />I a~ a registered builder OR the authorized representative SIGNATURE OF <br /> <br />Other__Thew°rkwillbeped°rmedbyareSi'teredbuilder ..... <br />I have read and agree to the terms stated on the reverse side of DATE <br />this document, <br /> <br /> I':hHF' ~.!F]...I. l,li:tt"~!~:!:~ i <br /> At;fqBV] hl.F OR 972... AUHSVII..,LE NO <br /> <br />~ MI[.L CREEK ESTATES <br /> , l., ~ 8X 78 <br /> <br /> ~ ~ 24 ..................... [...SS=., ............... ~.2~ .................. <br /> 55 96 5289. N0 N0 <br /> <br />TYPE: Blllrl_DINf; PER,fiT OR APPLTCATTON NS: 68771 <br /> <br />,,,o,,FILE <br /> <br />f~I..C,r. IVt:,l) 9% I)F .I ~ :!:',:i' ',,, ,::i~:, ' :,i "! ! :',' ,, ~ ,,,,: :]~ ;','', <br /> <br />I:N[:R::~Y F'A l'i-h , P'LAN;, ACTION: <br /> ENERGY PATH: <br /> <br />OFFICE COPY <br /> <br /> <br />