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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 />I am perform,ng work on a property I own or ocotcpy <br /> <br />of a registered builder. <br />The work will be performed by a registered builder. <br /> <br />, L- "41 : F::--;~ <br /> <br />I ':~;J EE;'U 62 <br /> <br />764 <br /> <br />TYPE: B~ILQING <br /> <br />APPLICATION <br /> <br />;It.N;".. D:I:I,IE:, E:]./' <br />.... i...f3 t,t F;(E;V <br />BL.l:F[ ;O]'NC,, t'iTA'¥',.'. <br /> <br />QUAI~TZTY <br /> <br />AHC)LJ!,IT <br /> $ I, 79 ,, 5f3 <br /> <br /> fEI ,, ?ILl <br /> <br />F, } ..... ['~AI-.L.,~;'IR(~f'I,~ NARY 56999 <br /> <br />FO~,,i. 814II~6 NUST BE 6QRPL&TE~. IT IS THE EESPQNS~BZLITY OF THE APPLICANT TO ASSURE THAT <br /> LL NECESSARY IHFOI~/fATIDN NAS BEEN PROVIDED. <br /> <br />FORM # MC 1~-56 REV, 4/~ OFFICE COPY <br /> <br /> <br />