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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO~,225 <br />220 HIGH ST. REET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: ,588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am a refllstered builder OR { )theauth0rized representative <br />of a regbtered¢ builder, <br /> <br />Other <br /> <br />SITbS ADDRESS; <br /> <br />~AX LOT: ! CATEGORY: <br /> hL ))l .... A~... <br /> t OCCU P~NcY'. <br />CONSTRUCTION TYPE; <br /> <br />14397 Kii:.:;;L ]'~i~) NE ~0N~F~AC~ClTY; ; UGW; :OCCUPANT LOAD: <br /> <br />TYPE~ ELECTRICAL <br /> <br />PERHIT OR ~PPLIC~TIDN NO: 57916 <br /> <br /> oUF .RV_. ,>I~ ~ E:LECTRZCiiiAN/I,1L/H~I'.'rR <br /> <br />QUAN'I' ¥ TY Aifi~] UNT <br /> <br />T0fAL A~:,S=oSED <br />P RI.:_'V l( OUS ...... <br />'¢ 14 ] ,.~ RE:CEZPT <br /> <br />'f(ALAF CE DUE <br /> <br />R~QU~REHENTS OF STATE LAWS AND HARION COUHTY BUILDINC AND ZONIN~ ORDINANCES~ THI~ P~R~tlT <br />SItAI,.L BECOi~E NULl. AND VOID. <br /> <br />FORM # MC 15-~6 REV. 4/90 OFFICE COPY <br /> <br /> <br />