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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG, NO. 225 <br /> <br /> SALEM, OREGON 97301 <br /> <br /> PHONE; 588-5147 8:00 ~ 4:30 <br /> 24 HOUR COIDE-A-PHONE: 588-7904 <br /> <br />I am a registered builder OR ( ) the authorized representative <br /> <br />TYPE: BUI Li)iI, I~ <br /> <br />CONTRAb'TOR,, NO. <br />:I:VAW H,, HQYE <br />.SAHE <br /> <br />f;'HOFE:: <br /> <br /> ,f, 'TEH <br />DIi;,HOLITION <br /> <br /> PAYEE: :[VAN I'1, HOVE <br /> RE, CEZVED BY: pr,_. <br /> <br /> $ THI~ I~ NOT A PERHIT; <br />?OLLO~[NG HUST BE <br /> LL NECESSARY <br /> <br />pERK'rT OR APPLTCATTON NO: -.~5=774. qbt U -I <br /> <br />ARCHITEC'f/ENGIHEEI% 140, <br /> <br />PHONE: <br /> <br />QUANT ~ TY AMOUNT <br /> 1 <br /> <br /> $ :I. ~., 0(t <br /> $0,, 60 <br /> <br /> $0.06 <br /> <br /> 636!;i~ <br /> 'f'YPE: CK CHECK ~': 1614 <br /> <br /> REVIEW PROCES~ WHERE THE <br />'THE APPLICANT TO ASSURE THAT <br /> <br />OP <br /> <br />OFFICE COPY <br /> <br /> <br />