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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE; 588-5147 8:00 - 4;30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> am performing work on a property I own Or ooeupy, <br />I am a registered builder OR ( ) the authorized representative <br />of a registered builder, <br />The work will be performed by a registered builder. <br />Other .... <br />I have read and agree to the terms stated on the rever~e Side of <br />this document. <br /> <br /> ..... , .... . ~ _,-~. : .~;~ ~] ~Eh['T'?,I j <br />....... /z Fi!'" ~t I%(~t '[ ;' ! ! ~'- '"! ! ?J- ! ) f= !4 ..................................... ¢ONa~'RUC;TION <br /> <br /> ~ETRO:rT,, OR 97342 <br /> I:'g BOX 461 <br /> <br /> :,_ .................. .[.__:,.~ ........... ~..~ .................... I _~+ ................... ~ ................... .4,~ L ~,a~ ............... <br /> <br />TYPE: PLUMBING <br /> <br /> ,ONI I-(A(., fOR~ biO,. <br />GAI,.BRA,T,'fH,~ STEI:;'HEt,I I.. <br />PO BOX 46~ <br />DETROIT. OR ~7~42 <br />PHONE:: 854-~1 <br /> <br /> ITEM <br />RE9Z~ENTIAL F',[XTURE~ <br />PLUMg]:N6 ~ASE FEE ':~ <br />PLUM~tZNG oTAI"E SURCMA~ <br /> <br />PERMIT OR APPLICATION NO: ?g52~42 <br /> <br /> PAYEE: (;ALBRAI, T~ <br /> RECE]iYE~ BY: FH,~ ............ ~. <br /> ~ THIS IS MOT A PERMI' <br />FOLLO~IHG flUST BE <br /> LL NECESSARY IHFORMATI8 <br /> <br />PLAN RI~;VIEW: <br /> <br />Rtr. HAfJ< ..... 4 FZXT "' <br /> <br />liLIANT I TY <br /> <br />,K.. 8 ,, )0 <br /> <br />:£ l',1¥ O i CI'~; NO.' ','?;4795 <br />TYF'E~ IN CI-I_:.Ct\ ~: 0 <br /> <br /> A REVIEW PROCES~ WHERE THE <br />~THE APPLICANT TO ASSURE THAT <br /> <br />BY ......................... DATE <br /> <br />FORM ~ MC; l m).~o RE'V. 4/~ OFFICE coPy <br /> <br /> <br />