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MARION COUNTY BLULDING 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 HOUR CODE-A-PHONE: 588-7904 <br /> <br />of a registered builder. <br /> <br />Other. <br /> <br />have read and agree to the terms stated on the reverse side of <br /> <br />CATBCORY: <br /> <br />J ~!:~ lit '~(I ~"l' ~¢-~ ,F. [ CONTRACT CITY: ~ UGB'. !DC'OUPANT LOAD; <br /> <br /> 294;~ LETONHE <br /> <br />WIDTH: ~DEPTM'. ~ AREA'. ~ UNITS; ~RR~G. LOT'. ~ CORNER'. <br /> <br />TYPE~ DWEIJ._TI46 PERi'~IT rjr APPLICATION NO: <br /> <br />'{¢~/~EL.L,.[N~; L4U'[LI)'[NG FEE <br /> <br />9~EI.,L Z N(; ELEC~ RI'C~L <br /> <br />I)NFL. L]iN6 F'i.,,¢N REV'.tE'W <br /> <br />9057892 ~P ~ <br /> <br />ARCHZ TEST/E?- ,~,£ HL,,,~,,~ <br /> <br />PHONE'.' <br /> <br />f,,!JJAN'f'l TY <br /> <br />PRE ~. I(,IUo i,, CETpT,~ <br />l' -;tR RECEIPT <br /> <br />604;17 <br /> <br /> iOAI.AN£~E <br /> ~'A'if,'_'r,;,~ ,Jolm F Rieg r <br /> R: ;EZV[.;/~) BY. <br /> .................................... :::::::::::::::::::::::::::: ................................. T'YPE: 2N (;NEC; :~::~ <br />~ THIS ID NOT A PERMIT. THIS APPLICATION HUST GO THROUGH A REVIEW PROCESS ~HERE T~E ............... <br />FOLLOWtH~ MJST ~E COMPLETED. IT IS THE ~ESPONSIBILITY OF THE APPLICANT TO ASSURE TaAT <br /> ,.L ~ECEySA~ INFOR.~N HA~ B~EN PROVIDED., <br /> <br /> 3,,,,,, .C,, ,~r... ¢ ............... ua~'...L ....... 8T R]~ , "' ¢'~;J-"~.~ <br /> ' - ....................... ¢.¢LAN. AC ?Z Q~,I~ I:~,:'"'~ <br /> i E:I~E F(G Y PATH: SP" <br /> , Y H'2'Sp]:C'TT }Fbi BY ...................... 9AIF,, ................. ' ...... <br /> <br />~aRu, ~c ~.~ ~v. ~,~ OFFICE COPY <br /> <br /> <br />