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MARION COUNTY BUILDING INSPECTION <br />SENATOR [~LDG. NO, 225 <br />228 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 />o a registered bu der. <br />The work will be pedormed by a registered builder.' <br />Other <br /> <br />this document. <br /> <br />TYPE= DWELLING PERMIT OR APPLZCATZON NO: <br /> <br />¢I}N'J'RAC'I't,'~R,~ NO. ~4930 <br />,John F' P:i.I.,,Der <br />6'.8, t;.~8 Ronk:l.~,,dge f'.t: HE <br />~[-~-~ .,. ,~, ._ ~ ,~- <br />, LNI ....~¢0 ',~,,6 .d. <br /> <br />QUANTITY <br /> <br /> RE{';li,'TV~:;O F [, I~ .................................................................. TYPE: ~N C,.H::,Cik q:: ~ <br /> <br /> * TH~S Z~ NOT A PERMIT. THI~ APPLICATION MUST 60 THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING MUST BE COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLIEANT TO ASSURE THAT <br />LL NECESSARY I.~ORMy~ HAS ~EEN PROVIDED. <br /> <br /> :, ..PF.~c,: ~.~ ................. ~ ................. ~/n'E ........................... ~g~Sg~:(A~.., .... :. ;?.. ~.;. <br /> <br /> '1 ............. ENERGY PATH= SF' <br /> ~':'~ 'Y ~Ft]f;~ '('T"[N~ BY DALE: <br /> <br />OFFICE COPY <br /> <br /> <br />