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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLOG, NO. 225' <br />· 320 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> '~HONE 588-5147 <br /> CODE-A~PHONE 4:30 P,M, - 8:00 A,M. <br /> <br />DATE: ............... <br /> <br />........... T~c,/is'r~b~'Ad. w~,z~ ....... <br /> <br />: SUBDIVISION! <br /> <br /> sITE NU~ER: 1 <br /> VA,.,. '.AT T <br /> <br />AC ~ ~nn;m. ~oT~ NO ~coR~: <br /> <br /> :T~M <br /> OUAN ~ ~ . . ~:~%.,, <br /> <br /> ' TOTAL A,E~c-"~S~D ~EZ~ .... - F." <br /> PREV i OLJ$ RECEIPTS '~': '- '~ .... <br /> TMTS, RECEIPT ......... <br /> <br />.~E ATTA~H~O ~OCL;M~T FO~ R~IR~TS ~F '~-SZTE S~E :SY~T~. <br />~ TMIS is A VALID PE~iT <br />~T~CTI~ FALLS TO <br />Z~[NG ORDI~C~. ~!S ~IT ~LL BE~E ~::.~D','~!D. <br /> <br /> <br />