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MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG. NO, 225
<br />220 HIGH STREET NE
<br /> SALEM, OREGON 97301
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<br /> PHONE: 588-8147 8:00 - 4:30
<br />24 HOUR CODE-A-PHONE; 588-7904
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<br />Other
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<br />I have read and agree to the terms stated on the reverse side of
<br />th{S document.
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<br />dWN~)?' ' ' - .............. ; TAX LOT:
<br />SITUS ADDRESS: ! DONgTRUCTION TYP~
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<br /> O~TEGORY:
<br />,~ J.D II zAL
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<br />97325 ~]:BN COUNTY ~NO
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<br /> SITE NUMBER= 94-e~427
<br /> V~LUA'FION~
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<br />TYPE; ELECTRICAL
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<br />CON i RAC I 1% ,, ),lO,,
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<br />~.~t784 H~.~]. Creek
<br />I::fl'~G RfL':4 749-297:[
<br />:[ 'FEH
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<br /> PERMIT OR APPLICATION MO: 57834
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<br />rg',] 964 SUPERV]:SIN6 EL F:;CTI~']: C I A N/NL;H B E R
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<br /> B ~ ~ 1 - ~ ~ (~UANT:['f'Y AHOUNT
<br /> , A,K'J', L~.R(.d. ), l~t.I. ?]-t(JLIT SE~,V:I,[;,,,, ,OR I'"F:ED~'R~.. -, 1S'F CIRCUIT t $S5.,
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<br /> :F~'FAL ASSESSED F'I~ES
<br /> PRE'V]OJS RECEIP'FS ' $~,,
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<br /> PAYEi~: ,,Jolm A Spee- ,: : ' RECEIPT NO~; 6~}5.~,J"" '::'~'
<br />
<br /> FROM
<br /> ISSUE
<br /> ~ATE.
<br />~EQUIRE~ENTS OF' STATE LAWS AN~ ~A~ION' COUNTY BUILBIhlG AND ZONING ORDINANCES, THIS PER~TT
<br /> M , ,~,.
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<br />' ['.f,.) '" - ,,h.,.,,,J,, C~')U;~FI'Y ItLJ:i:L.I)L(NG OFF,,.,'U,.',L. / BY
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<br />FORM # MC 1 $-56 R~V, 4/90 OFFICE COPY
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