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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STRE~=T NE <br /> SALEM, OFfEGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />The work will be performed by a registered builder. <br />Other_ <br /> <br />[-~-~U~ ~D~SZ ................................................. ' ' CONSTRUCTION TYPE'. ! OCCUPANCY; <br /> <br /> AL]H~ /~_LF OR '27~2t5 ~ SITE HU~ER: <br /> PHONI~;~ ...... <br /> 74~} 1822 VALUATION: <br /> <br />PERMIT OR ~PPLICATION HO: <br /> <br />¢'~58212 <br /> <br />,i,,H QUANTITY AMOUN'T <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br /> <br /> * THIS IS NOT A PER~IT~ THIS REVIE~ PROCESS WHERE THE <br />FOLLOW!N~ H~S'T ~E C~NPLETED~ IT IS THE: ~ESPOHSI~[L~TY GF THE ~PPLIC~NT TO ASSURE THaT <br />I._L NECESSAEY IHFORflATION ~AS :~EEH P~OViDE~. <br /> <br />ZC:,'.]'!]',!G: ,OY .......... ~ ....... '-':7 DAT;!.'_'--'"'"'-'T'",~';;,~,'~ ::'TOTAL ~C~ <br />.::,~,:.F F.,.L:, ~.Y ~ 8 DR,~,E,,~., <br /> <br /> ENERGY F'A'f'H ~ <br /> <br />!,.Lt~,AF$,S~, Al; EX,THF:'T APP <br /> <br />OFF]CE COPY <br /> <br /> <br />