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MARION COUN'rY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 1~2 · Salem, Oregon 97301-3670 <br /> <br />OCCUPf~NCY ~ R.,,3 Z~S~j/D : <br /> <br /> ~ ........ P,R & ~-..:c <br /> <br />~ Ill,)NL : 473-2L~'i6 <br /> <br />CON'I'R~f:'IOI:~ .~ [,;'ARt',IH(tH EL. Ec'rf:t]iE C0 0CC:;r4: 12:[7 <br /> PHONE :,: 4'? 2'"~'~. ~] 6 <br /> <br />J::'H O!'Ili[ ,',' <br /> <br />CON'I'R~C:TOR L ]:CEN!~dE;; <br /> <br />St}F'V El.I::]; ,~ <br /> <br />SUP~;R¥ISOR I,_ICEh :4;., <br /> <br /> Ad iustl~ents : . <br /> 7 o'~:8 :l fees : 52,, 59 <br />P~YF:Eh: F'~RI4i.t~?~ FLEC'IR:[[, O0 Be:~.ancs:, 8ue : <br /> <br />FAZI_S TO MEET ALL RE~U%REMENT~ OF STATE LA~ AN~ MARION COUNTY ORDINANCES. UPON <br />WRITTEN REQUEST~ ONE SZX ~ONTH EXTENSION HAY ~E GRANTED. <br /> <br />EJIGNA'/UI~E Of APPI.,:[CAIq'i~ <br /> <br />I)ON¢,t. )~ E k~OODI.E.Y,, HAR]:ON COUN'f'Y BU:f[_D~N[, OF'F'ZC];(d.. / BY N~q.g_L <br /> <br /> <br />