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COMPLETE ALL SECTIONS, 1 THROUGH 4 <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> 285 Church St, NE - Room 132 <br /> Salem, Oregon 97301 <br /> S:00am-~:30p~ Phone 588-$147 <br /> 24hr. I <br /> <br />DEC 2 1995 <br /> <br />FOR CITY USE ONLY <br /> <br />, DESCRIPTION <br /> <br />2. LOCATION OF INSTALLATION <br /> <br />3, CONTRACTOR INFORMATION -- PLEASE INDICATE WHO IS DOING TI-I]E WORK <br /> <br />4. FEE SCHEDULE <br /> <br />A. <br /> <br />(3) Stra¢luraI Plan Review (.65% x Al) ~ ~, q .~ <br /> <br />TO'I'AL <br /> <br />I hereby certify that the above information is correct. <br /> <br /> <br />