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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 H~GH 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 />of a registered buUder. <br />The work will be peHorme~ by a registered bullcler, <br />Other <br /> <br /> AU~SV'I'[ ~ E' <br /> <br />i F'O BOX <br /> AUH~NJ:LI,,.E., OR 97325 SITE NUMBER: <br /> PHQN~: 749,,.,2471 VALUATION: <br /> <br />TYPE: BUILDING <br /> <br />PERMIT OR APPLICATION NO: ~)~68578 <br /> <br />56144 AI~CHITECT/EN~INEER~ NO. <br /> <br /> I TEN <br />BUll, DING FE, E <br />Pl.,AN REVIEW <br />BUILI)INI; STATE SU~CHARGE <br /> <br /> PAYEE,,t DENTON HONBEC;K ': 6S224 <br /> kEL, E,[VED BY: PM ' .: : ...... YPE: t "' ~ ~: ~3 <br /> ................. ,....._..,_...,,.: ..... ~,~.,,,_ ... N CHE, C <br /> <br />~ LUWJMb ~U~/ ~E CUHPLETED~:: ::~T;;[S;~:::: ~RESEONSI~ZEITY OF::THE APPLICANT TO ASSURE THaT <br /> LL NECESSARY IHFORHATION: HA~::.~E~, : <br /> <br />Z ,i,G, ~Y ~,~_-~' ....... :PATE" ~': ::"',: TO:T~: 'Fl'-' <br /> ......................................... P[,~N: ACTION: <br />D:~Y JLtR:[SbICTIOFr: ~Y_ ~ l)~l'E ENERGY F'ATH~ <br /> <br />8~4 <br /> <br />OFFICE COPY <br /> <br /> <br />