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<br />, iOR'CtTV USE ONLY
<br />R.c~ìVed By: ~
<br />200108 validation; ~~
<br />Date ..¡ - 'ZJ - ~
<br />
<br />MARION COUNTY BUILDING INSPECTION
<br />COMMUNITY DEVELOPMENT CENTER
<br />¡as Church St NE - Room 132
<br />Snlom, o."son 97301
<br />8:00am-4:3Opm Phon. $5147
<br />24 hr.ln.,p<çtioo LIne 588-7904
<br />FAX 588-7948
<br />
<br />cis- \?Ol Y
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<br />"oodoo 02. 10 :!J:"
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<br />2. CONTRACTOR INFORMATION
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<br />J. FEES
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<br />"Po,,'n"udoDEQ$u'"""i'
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<br />Co"""c,;on P",mit or C;omm.",.aI Major Repair, ru'St l00Q galIO'"
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<br />(:"",""""O" P'Tmit "T Commercial M'~or I/opa;r, over (Ioo gaJlön"
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<br />+ $1001500 gallons
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<br />Comm,rclal Plan Rov;.'"
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<br />l~g ~¡~~: :,~ggg ::11::::::::::::::::::::::::::::::::::::::::::::::::::::1:::::::::::::::::::----------.....,...."",......-..,----133,00
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<br />t:o..""<tion Pennitl'« + $251500 gallo",
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<br />Date,
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<br />Pumoi"" o,<tlflc..ion AttaCOOd: (Y\ IN>
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