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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 a registered builder OR the au hor ;[ed rep esen ave <br />of a registered builder, <br />The work wilt be berformed by a registered builder. <br /> <br />gIGNATURE OF APPklgANT; <br /> gATE; <br /> <br /> 77,5,,1 <br />~LBAI'IY~ OF( ...... <br /> <br />TYPE: MANUFACTURED STRUCTURE <br />CONTRACTOR., I'lO. 80306 <br /> WFSTERN ~[ HONES <br />:3B293 HWY 34 <br />A~..F~AI'IY~ .97321 <br /> <br /> ITEH <br />HANUFACTURED STRUCTURE <br />MANLJFACTUF(ED STRUCTURE S'FAT[ <br />NANUFACTUI~ED STRIJOTURE STA- <br /> <br />PERMIT <br /> <br />SITE NUMBER: 94-~081 <br />VALUATION: <br /> , RAN~; i ~ONE: MAP: <br /> <br />APPLICATION NO: <br /> <br /> THT,$ RE ;.F_':[PT ~J~O,, O(;J <br /> <br /> , ~Y, .~.'.. ' <br /> REf;~TIVF_'D J~'¥.," dm :; : :' TYPE~:' CHEcKZNVOICE'Ih, 8 <br /> <br /> EE~HSPECT[OH, ~ ~ECHANZORL, ~flD /LECTE~CRL <br /> CONNECTIONS '~1 DINED :REQUEST F0R THE F~RST INSPECTION. IF <br /> ~NY ~F TNE ~S ~E ~LL BE REQU~RE~. <br /> PER~IT IS D FOR SIX MONTHS ONLY*: RENE~ED FOR 6 HONTHS UPON WRITTEN REQUES <br /> ~ ~ T FOR <br />., ut NIH~[ LR~ AMD' MARION ~OUMTY BUILDIN~ AND ZONING ORDINANCES, <br />,' ANiI [HG <br /> <br />OFFICE COPY <br /> <br /> <br />