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MAHIUI~I ~,,UUI~I I ¥ ]dUILDINL~ IIN~I~I2UI IUl~ <br />~ENATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br />PHONE:588-5147 8:00- 4:30 <br /> <br />I am a registered builder OR the authorized representative <br /> <br />The work will be pedormed by e registered builder. <br />Other , <br /> <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> pATE; <br /> <br />]YF',~: t:U}H.Dlbt(, <br /> <br />~' '" <br /> <br /> ? I( ';it]J" ~:'~- 'I'/t:'N[' '] ,11: I;'T[, ~ .~' ,, <br /> <br />!. f 5 t; <br /> <br />Ri; ' 1 O <br /> <br />CUSTOMER COPY <br /> <br /> <br />