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MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Sena~cw Building #225 <br /> ~ trJJgh St., N.E. 2nd Floor <br /> Salem, Oregon 97301 <br /> <br /> 588-5147 - 588-5148 <br />P_M_- ..... COOE-A-Phofle 588.Efl,'7:~ ......... 8:00 A.M. <br /> <br />Permit No. ~ <br />By: ~ <br /> <br />L~t N~ ? JIMk. No.~ Sub dy. <br />A~ea of Bldg. 2nd Bad. <br />/~aln Fir,: .... FIr.~ miner <br /> <br />Total <br />Area: <br /> <br />Valuatkm? <br />Bldg, Permit <br />Fe~ .-~m,,-~ -~ .7..:.:.. <br /> <br />~e~:h_ Fee <br />Plumb, Fern ..... <br />Eurchorge= <br /> <br />~la,ttc <br /> <br /> agree to build according <br />of Oregon ~nd the O~ Of ~r~ <br />~n 180 ~, I ~t~r e~ ~rmnf ~t I ~ply ~th ~ ~l ~ ~S TOTAL FEE~~117 · 6 0 <br /> } ~ am ~g ~k ~ a ~ I own ~ ~cupy ~CEI~ NO.-~ ..... <br /> ) I om a ~;s~d ~lder OR ( ) t~ au~ixed ( ) T~ ~ wgl ~ ~r~ by a mg;s~ buil~r <br /> <br />REMARKS: <br /> <br />StGNATURE OF APPLICANT- ~ ~~~ ~ <br /> PLEASE NOT~ Orl~ay a~ ;M~alk t~,On$ am r~m~ by ~blic W~k$: ~-~ <br /> <br /> <br />