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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, ~Q, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 9¢301 <br /> <br /> PHONE 588-5147 <br />CODF_-A-PHONE 4;30 P,M, - 8:00 A.M, <br /> <br /> The work will be pedormed by a reg;stered builder, <br /> O~her <br /> I have read and agree to the term8 stated on the r¢¥erse side <br /> <br />DATE: 0 ? ,/': .:,,/~' '? ';' P4E: 2~36:28c <br /> <br /> ,,a, HOLIVlOLi; Si RD <br />,i L,:,'v~S'v.'; i. LE <br /> <br />USE OF 9UILDING; <br /> <br />~ ~fON COUI'4TY ~0 <br /> <br />']ALE?,S ,'OR 97 ~4",S <br /> <br />'DEPTH: <br /> <br /> 3ITE NL;r'48 ER = 909 <br /> V'ALUAT ~OCX ~ <br /> <br />.. - 86~Jo AC <br /> <br />°ERjV!:['T OR A, PL,CA. ,,,,N ~,JO; 9003220 <br /> <br />TOTAL ASS'-----------------~%SED-~=h_~S <br />, R~V.~OU~ RECEIPTS <br />THIS R='C~P== -. , <br /> <br />~ALA.NCE 0UE <br /> <br />........ 'v .,~, L~'/: PS .......................................... <br /> <br />;~ THIS ZS NOT A PE~ZT. ~S APPLZ¢ <br />¢OLL~NG ~ST BE ~LETED. ZT <br />ALL NEC~RY ZNFO~.TZ~ HAS 8f <br /> <br />~{~:;~ARKS;: ,~JhO =.AC _~ .... ?:: <br /> <br />OUAN T i ~r' Axi('.',U '4 T <br /> $ 3:5. "-' <br /> <br /> ,,,. ',; <br /> <br />$¢, ....... <br /> <br />$~ '> ,. <br /> <br />A REVIEW PF~OCES,S ka-SERE. THE <br /> THE APPLICANT TO .&..SC-aRE THA- <br /> <br />ti <br /> <br />OFFICE COPY <br /> <br /> <br />