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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HiGH STREET NE <br /> SALEM, OREGON 97:301 <br /> <br /> PHONE 588-5147 <br />CODIS-A-PHONE 4:30 P.M, - 8:00 A.M. <br /> <br />~=, 362-5?83 <br /> <br />121 <br /> <br />SIGNATURE OF APli~LIGAN?~ ............ <br /> <br />: QON'rtYRUCTION TYPE; <br /> <br />SITE NUIVi~R = 93~0 <br />VALUATICN: <br /> <br />TYPE; ON-~ITE S~ <br />PEJ~IT OR APPLICATION NO: <br />C04TRACTOR, NO, <br /> <br />Pt'lO~E = 362-5763 <br /> <br /> ~TER ~UPPLY= PI~ <br />9021642' SITE EVALUATION <br /> <br /> ~[C T~K ~= 1~31-g0 <br /> <br />· TOT. N.. <br /> <br />c~*;eouw RE~IO~NTIAL <br /> <br />OCCUPANCY: <br /> <br />MAP: <br /> 82. <br /> <br /> NT <br /> A~5.00 <br /> <br /> $105.00 <br /> $0.00 <br /> $105.00 <br /> <br /> $0.0o <br /> <br />22950 <br />2221 <br /> <br />PLAN REVIEW: - 0ATE CITY JURISDICTII2N~ ,~Y DATE ....... <br /> <br />.~omu ~, uc *~,~,,', ~v.~/e? OFFICE COPY <br /> <br /> <br />