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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,ou. O00E-^-PHONE'~8~-7904 <br /> <br />o a registered builder, <br /> <br />Other ,, , <br />{ have read and ~ree to the terms stated on the reverse'~'i'do ot DATE: <br />this document, ' <br /> <br /> h <br />........................................................ ~-...~ ..... ~ :. ,x....~_. _...~; ~=¢J ,.. ~ ........ ~.X~ ....................... <br /> ¢:r,..~,~ ~ ¢ ¢~. · ,¢,", ,-~. ...... <br /> <br /> - ',; , rR~S R'ZCE!.PT ..... <br /> <br />...................................... :: ............... 2 ;,-::..._:::'::; :; :.::,::;%:: 2: ............................................................... <br /> l,':,('l.l[:-f ailCI. IHI:? ' Fi'If": I'([:.[~t.l;l'l~[lH~{Ft'I'(; nr ('IN,- F;) iE SEWAb, -}YS tiP;, <br /> <br />FORM # MC 1~-56 REV, 4/90 CUSTOM ER COPY <br /> <br /> <br />