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FOR CITY VALIDATION[ <br /> <br />MARION COUNTY <br />BUILDING INSPECTION DIVISION NO: <br />3150 L~ca~t~ Dr. N~. - SoRe C <br />Salem, Oregon <br /> <br />IMECHANICAL PERMIT APPLICATIOI~JV~ <br />P/ease comp/ere all Sections, 1 through ~"~ <br /> <br /> r^x lO <br /> <br /> D~ONS J <br /> <br /> W~K ~ S~ ~ lB0 DAYS. <br /> <br />:lA. CONTRACTOR INSTALLATION ONLY <br /> <br />2B. FOR OWNER INb'TA LL&TIONS <br />City. ~, ~ <br /> <br />C~a~r's SL~aam~ <br />Asent'l Signature <br /> <br />3. PLAN REVIEW SECTION <br /> <br /> Marion County does not require a plan review. <br /> We will provide plan review service ff you complete <br /> Section 5B and submit two (2) SeL~ 0£ plans and <br /> specifications with this application. <br /> <br />TOTAL AMOUNT DUE <br /> <br />s I ?..,oo <br /> <br />MC 15.41 7/97 <br /> FEB-10-3.998 ~: 02 <br /> <br />588 ?948 <br /> <br />P. 01 <br /> <br /> <br />