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MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT (2ENTER <br /> 285 Church St. NE - Room 132 <br /> Salem, Oregon 9731.}1 <br /> <br />FAX 588~7948 <br /> <br />· USE ONLY <br /> <br />COMPLETE ALL SECTIONS. I TI4ROUOH 4 <br /> <br /> L JOB DESCRIPTION <br /> <br /> ( ) Replacement <br /> ( ) Addltlonal Unit Add-on <br /> <br /> Type of Skiing: <br /> <br /> L~, ) Vinyl <br /> <br />Type of Roofing: <br /> <br /> ) Steel <br /> ) Metal <br /> <br />( ) Attached <br />( ) Detached <br /> <br /> DEC 1 q 1995 <br /> <br />BUILDING INSPECTION <br /> <br />No. of Leogth Width <br /> <br />2. LOCATION OF INSTALLATION <br /> <br />3. CONTRACTOR INFO~ATION -- PLEASE INDICATE WHO IS DOING THE WORK <br /> <br />Width; <br /> <br />) I am th~: PROPERTY OWNi~R and own, reside in. or will re,¢ide in the completed sttnctum and will be my own general contractor. I understand that <br /> <br />I am an AUTFIORIZED REPRESENTATIVE of the progeny owner or the contraoto~, <br /> <br />4. SC EDW <br /> <br />TOTAL <br /> <br />$245.00 ;a ~&_~_gr'O ! B. AdditiOnal Inspection/ <br /> <br />$60,00 = <br /> <br />hereby certify that tile above informalion is correct, permit~ ate non-tra~aSerrable and expire if work is not started within ] 80 days of issuance <br /> <br />or il'work i~ SUspended for I80 day,q. , ' <br /> <br /> <br />