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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, :225 <br />220 HIGH STREE[T NE <br /> SALE[M, ORIZGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />l am a registered builder OR ( ) the authorized representative <br /> <br /> ~.~6/,~ --Al; BLD(;--.I)E[.~tE~,A FARMS <br /> <br />,LOT: 8LOC K'. SECTION; ] TOWN~HIP; RANGE; ~ ZONE: ' j MAP: <br /> <br />TYPE.' 8UJ[LD:]:NG PEI~I~IT OR APPLICATION HD.' 61~42 <br /> <br />.... , ................... <br />PHUNE: <br /> <br /> ,tf,, <br />PLAN <br />F:~:~E ANP LIFE ~AF'E'/'Y <br />A)~)~I';[OHAL ~UZL. DIF~ FEE <br /> <br />ZOi'K[ NG SI,IRCt'.IARGE <br /> <br /> ~ ~HIS I$ A V~LI~ ZTS ISSUE ~)ATE, tF <br /> <br />E~U~E~E~'T~ DF ~T~TE OR~ZNAN~E~ <br />ALL ~EBO~E NULL Afl~ <br /> <br />f,t <br /> <br />::'H :?7' PAil-h: ~TOR:I:E:S~ 0 <br /> F I, AN. ACTI O!~,h: <br /> :.~, :,~ ~ F'A'fH.~ <br /> <br /> .... ,'LaN~ If K,, FOR 0AIRY F'[';E'D <br /> OFFICE COPY <br /> <br /> <br />