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MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG, NO. 225
<br />220 HiGH STREFT Np
<br /> SALEM, OR~=GON 97301
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<br /> PHONE: 588-5147 8:00 - 4:30
<br />24 HOUR CODE-A-PHONE: 588-7904
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<br />of a registered builder.
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<br />SIGNATURE OF APPLICANT;
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<br /> (':AH¢I~E( 1. [ ,,,K[, I IRES),'DEHTIAL
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<br /> REE;2:DEhi'Y]'AI A(,(,},, ~,xY 8]'RUCT[IRES J
<br /> .................................................MAIg/NG ADDRE88; ......... :
<br /> M}:LL CREEK ES'[~'TES
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<br />lEST: ] BLOCK: SECTION'. TOWNSHIP; I RANGE; i ZONE: i MAP:
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<br />PERMIT OR APPLICATION
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<br />Pi,,hN REW. EW
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<br />F'A YE El
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<br /> 58018
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<br />ARCH l TECT/EH~; l NEEF(~
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<br />PHONE~
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<br />EQUIR/flENTS OF STATE LAWS::~HB HRRION: cOuNTY ZONING OE9INANC/S, THIS PERMIT
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<br />,,:.),I.,:..) :{,. [J'}l';} ::"/~ ,,qA!4,[f_'N ';'OUI,~T"/ BU:[I_bN,ii:; OS'F'!CIAL / BY
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<br />OFFICE COPY
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