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Alternate Material(s)andior Method(s) Application <br /> Marion County Public Works <br /> It] <br /> 5155SilvonRd Salem OR97305 J <br /> OatOON <br /> Phone:.(503)588-5147.Fax:(503)588-7948 E-mail:Huildin o)co-mariommor.us <br /> Z LIOw/ /ihe- lice//K eel/ <br /> bo&i k//Gha-.- r5ir,.c( SMML,-fPr a .t-6leu,.5 r-v ec.1 <br /> j ,e f 5Bus-n.••.,.15'O. e W�-+en,^e.72L-ifrrejO....i-iaa1 A/ .s Jr"6caiG.✓'e.. <br /> 1 J- - Via 5/s// Sew Jo oC is Sirr/I_ <br /> I hereby r-• -•• e . to use an alternate material(s)and/or method(s)from that required by code as described above <br /> Signed: _. e, . - Date: /-/a2 - <br /> OFFICE LSE ONLY <br /> pproved .. <br /> Approved with co,ditions a <br /> ❑Denied ryr/ <br /> Signed: <br /> Page2 of <br /> G1FORMS L LDGIa-37Nremete?atonal or Method Request dac <br /> a <br />