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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 />of a registered builder. <br />The work will be pedormed by a registered builder, <br /> <br />this document, <br />DATE: qK~./';J?l°~ TI~E.= 6,. BC. 42 <br /> <br /> ~ SITE <br /> PHOHE~ 7~9-.i864 VA,.UAT,LON, <br /> <br />P[R~IT OR APPLICATION <br /> <br />F'~ 7:, C~R,,~ <br /> <br />PHONE; 74~--:~ 6~4 <br /> <br />9952419 <br /> <br />~AT!'--':R SUPPLY: F'W <br />TEST HOLES READY: FRIDAY <br />SITE EVALUATION NL~i~ER: <br />EXIS~ B~F:~ TANK <br />~X]:S'TiN(; DRA'[N F].E'...D <br />SEPT:[(: -~'~NK PU~PF:D: <br />PREVIOUS NO. ~{EDROOMS: 2 <br /> <br />atdP, hi' ITY AMOUH'!' <br /> <br />· 'tOTAL ,.A~SES~EP FEES <br /> QU$ RECEI, ~, <br /> <br /> RECE]:V,'.?D bY: CL <br /> <br /> SE'i{ A'Ft'ACHE~ I)OCUHENT <br /> <br /> * THIS IS HOT A PERMI~ <br />FOLLOWING MOS'/ BE COHPLE <br />ALL NECESSARY :[HFORHATI~N: <br /> <br /> l, %125, <br /> <br /> RECEIPT tqo: <br /> TYF'E:: C~'.IE CK ,L~: <br /> <br />SYSTEM, <br /> <br /> ~ REVIE~ PROCESS ~HERE THE <br /> ~PPLI~NT TO ~sU~gF THOr <br /> <br /> <br />