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FOR ,.OFFICE USE ONLY <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> 220 AYah S~ee~ NE <br /> <br />FAX 58S-7~148 <br /> <br />FOR OFFICE USE ONLY <br /> <br />]~ASz~s 7821 Terranoe L:. 75060-050 Mimx Cree~ Rd. <br /> ~N~ ........... <br /> Aumsvil 1~ Ore. <br /> <br /> 1'er ~e Subdivision 4 1 <br /> <br />~ T~'~S ~ ~ M~ ......... <br />26 2W w~ <br /> 165 fee%~ , f~et,~ _.89 ................ ~W~ [ ] ~ [ ] <br /> <br />3. Contracter Information 5~ Fee SCheduleS <br /> <br />4, tic Information (Check w pplicable) <br /> <br />(4) ~ (,~ xBl) <br /> <br />(3) $~ ;'ha Rav{ew (c;mme~eb,! .,,~ ~ S'Tg,~ = <br />(4) ~-,~-. F~ ~ <br /> <br />~U.~8~: Single family residence <br /> <br /> N~,: <br /> <br /> DWELUNG/STRUCTURAL AND/OR ~;£FI'IC PERMIT APPLICATION <br />COMP[.ET~ ALL SECTIONS, 1 THROUGH 4 /'~ /~ ' 'T~ [ <br /> <br /> <br />