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MARION COUNTY <br /> BUILDING JNSPECTION <br />.gcnamr Bu;ld{ng o 220 High $~'/r~ NE ~ S~ond ~lOor · S~lcm, OregOn 9730~ <br /> Office Hour: 8:~. 4:30 Phone: 58~5147 2~ Hour Cod~A-Phone: 588-7~ <br /> <br /> !NSPECTTON RE~.ST <br /> <br />~n~peotic~ ~atho~ization ~ate r~: 05~7~ zn~ ~: o~/~7/~ <br /> ~ Path: <br /> Site nur~: <br /> T~e <br /> ue~Jp~oy : <br /> <br /> 0wn~ <br /> <br />Znstaii er: P~e: <br />3~pe of P~mit <br />~T~RIZATION ~T~ - ~D, VISIT 1 <br />~ermit requir~ts: ~1 ~'I~D VISIT <br /> <br /> ~ -- ~ ~ IN~ECTI~ R~T _~.~ <br />:n~cte~ By ~,...~ ............................ Date: _ , ,~___ <br /> <br /> <br />