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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. - 8:00 A.M. <br /> <br /> I am performing work on a property I own Or <br /> 1 am a registered builder OR the authorized <br /> <br />DATE: 04./26/88 TIN!E: .1 =4]¢..-.~8p_ ......................... <br /> P~o' EON <br /> <br />SIGNATURE OF APPLICAN"F: ............... <br /> <br /> .............. £? <br /> <br /> 12483 FRY ROAD <br />AUROP, A O~ 97002 * ' _ . ~ <br /> ........................................................................ ~.~ .............. NO ................. <br /> <br />6?8-2557 <br /> <br /> 4091 '7-000 RESI DENT <br /> <br />........ T'O~&' .................... ~ ~A ~ LOAD: <br /> <br /> , <br /> i SITE NUMBER; <br /> ~ VALUATION; <br />i $1~CTIO~ ............ T~'--N-S-~ i ~ ............ ' ............................... ' ................ "' ' <br /> <br />: ,, .~,! ........... ~ .................. 4,~ ........ L ..................... !,~ ....... ~ ........ E~ ~ <br /> <br />PEENIT OR APPLICATION NO: <br />CONTRACT~. NO. <br /> <br />PHCNE; 678-255'/ <br /> <br />AUTHORIZATION NOTICE - FLD. VISIT <br /> <br />$0.00 <br /> <br />REMARKS: AUTH NOT:ICE - REPLACE MO , El,, 69 .' :'., <br />~ONALD E. WOODLEY, MARION COUNTY BUILI~:NG OFFIE'i'AL, '/ 8Y <br /> <br />FO~M, MC ,~.5~ REV. s,a7 OFFICE COPY <br /> <br /> <br />