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MARION COUNTY BUILDING INSPECTION <br />SENATOR 8LDO. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:80 <br />24 HOUR CODE-A-PHONE: 588-7'904 <br /> <br />I am a registered builder OR ) the authorized representative <br />Other_ <br /> <br />I have read and agree to the terms stated on the reverse ~ide ef <br />this documer~t, <br /> <br />I,,d],.tlt ,, HOdl;N[h,~ 9f&r_,d.O,,,,22~ 50N~Ii2:RC];AL <br />A(~MSVi4..L.E OR 97:Y~5 ' AUHSVILI. E NO <br /> <br /> .................. ................ : <br /> <br /> EUREKA AVE <br />olL. VLI~ I£ht~ OR <br /> <br />PLAN R1F.¥TEW <br /> <br /> 5&480 <br /> <br />ARCH:E'I"F. CT/ENI; Z NEER ~ <br /> <br />PHONE:: <br /> <br />PREVZOUS RECEIPT <br /> <br />QLJANTZTY <br /> <br />~ THIS iS A YALI~, PERMIT;' :THI$:PER~IT EXPIRES 180 I)AY8 FROM ITS ISSUE ])ATE. <br /> <br />J;'I'~i::;F(~Y [;',qT['h~ STBRIES: I h o .. ,,.- ='-" ':m <br /> E NE E:(',;Y PATH~ E;l::" <br /> <br />.,., ..... /:' .... b(. ,,.,,]~ ~ " "'~' , .................................. <br /> <br />~oR~4 ~ ~c t~-~ RSV, ~ OFFICE COPY <br /> <br /> <br />