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MANUFACTURED STRUCTURE INSPECTION <br /> <br />BUILDING CODES AGENCY ViSual !n-Plant <br />MANUFACTt,IRED STRUCTURES AND PARKS SEC~TION <br />1~3S EDGEWAI"~R NW, SALEM, OREGON U7310 <br /> On-Site <br /> 'rELEPHOHE: (503) 373-12SS <br /> <br /> [~1 In-State <br /> <br />/~' Out-of-State <br /> <br />(¢/.4/ P, - R ~ ~ n I ?-//- ?/ ,Z~'- <br />Insp L~tion; Instal. ~.: ' <br />Insp's, N~e; I ~: 0~: ~ "' <br />~ ~%~-~,~ , Insig. Issu~ ~ Yes ~ No <br /> d I ..... I <br /> Cover Q Final ~ ei ion ~~ ~ to ~ver Ty~ HeatFuel <br />S.UE s.a~ .............. ~ _.,,v . P ~m~ o~ <br /> <br />CORRECTIONS //~ REPORT <br /> <br />Inspector's Signature <br /> <br />INVOICE TO FOLLOW. Payment to include all inspections <br />performed during calendar month. Payment due by 10th of <br />~l._~_~i~g month. ) <br /> <br />Page / <br /> <br />YeI~ FL~e <br /> <br />of <br /> <br />Pink. Man~acaxe~ <br /> <br /> <br />