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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HiGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHC~NE 588-5147 <br />.CODE-~-':PHONE 4:30 EM, - 8:00 A.M. <br /> <br />The work will be performed by 8 registered builder· <br /> <br />DATE <br /> <br />SIGNATURE OF APPt. ICANT: <br /> <br /> DATE: .......... <br /> <br />TAX LOT: <br /> <br />CONSTRUCTION TYPE: <br /> <br />OCCUPANCY: <br /> <br /> ! 22~{~ EiE/ii)E!', ~q' SE: <br />..... ~ "' ' :1':~ <br /> <br />USE OF SU~LCING' <br /> <br />CONTRACT CITY: UGh: <br /> *....,.f ,.,,,L:X , ~, ;) <br /> <br />OCCUPANT LOAD: <br /> <br /> NO. OF BEDROOMS: <br /> <br />MAILING ADDRESS: <br /> <br />SUBDIVISION: <br /> <br />LOT: BLOCK: SECTION: TOWNSHIP; <br />WIDTH DEPTHI AREA: UNITS: <br /> <br />MAP: <br /> <br />PC EIO;,', 73? <br />?" ,-'.¥ if3', :l' ;';' :17:3:;3 <br />~q-fO?'~. ?~q 323 ~¢S <br /> <br />,,lid :o ,~ VALID PEF~,II, TH't,S PERNIIT, EXPIRES DAYS,,FROfq IT~ IoSUE DATE. .P <br />~ST~CTION CEASES FOR A ~T~CTZ~ FA~LS TO ~EET AL_L <br />REtIREmENTS OF STATE ~' NG ~D ZONING ORD:N~CES, TH:5 PE%~? <br />~ALL BEdE NULL AND VOID; ,' , <br /> <br />~o~ ,~ MC ~-~ REv ,¢~ OFFICE COPY <br /> <br /> <br />