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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG. NO. 225 <br /> 220 .HIGH STREET NE <br /> SALEM. OREGON 97301 ~ <br /> <br /> PHONE 588-5147~' <br />CODE-A-PHONE 4:30 P.M, - 6;00 A,M. <br /> <br /> tam performing work on a IOrOOe¢~y I ~wh or occupy_ <br /> am a reglatered bullOer OR ( ) the author[zed reDresentatlve <br />Of a Cegl~te~ed ~ut~de~. . <br /> <br /> 04/10/87 ~: 1;36;20p <br /> <br />15056 PAR~ AVEI~IUE <br /> <br />C~. 97002 <br /> <br />SIGNATURE OF APPUCANT~, ......................... <br /> <br />~ T~X ~O~. ~0580--000 <br /> <br />USE OF I~UILDiN~= ....................................................... : ..................... <br /> <br />3674 PACII~C EiGI~Y <br />~3t~D, ~ 9?082 <br />PEDNE: 981-1175 <br /> <br />' ' <br /> <br />I $165.00 <br /> <br />$165 <br /> $0.00 <br /> <br /> <br />