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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO. 225 <br />220 HiGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 585-5147 <br />¢OOE-JA-'PHO~. 4:30 P.M. - 8:00 A.M. <br /> <br />OCCUPANCY: <br /> <br />COUNTY ,,~,'"' <br /> <br />OCCUPANT LOAD; <br /> <br /> NO OF BEDROOMS: <br /> <br />LOT: BLOC~(: SECTION: TOWNSHIP: <br />:"_' ,¢, <br /> <br />,-: :!i! ?::U ¢ ~, <br /> <br />;OTAL ASSESSED, FEES <br />R~'¢;OUS REC',E r OTS <br /> <br />9.AL.a, NCE DUE <br /> <br /> ,,, ,RECE '~ ::~' ", .' <br /> <br />· THIS IS A ~ALZD PE~, ~H~S','pE~ZT;,,~P~RES ,~80 DA,$,',F~ [T~ [SSUE DATE. <br />~ST~CTION CE~ES FOR A PER~QD',,~F 180 ~AY~",OR'IF :~ST~T~ON FAILS TO ~EET ALL <br />~E~!REN~'rS OF STATE ~ ~~, ~N~, B~LD~NG' ~D Z~ING ORDIN~CES, TH~S PE~'.I- <br />~4. LL BEdE NULL ~D VOID; ,'{,,;;;,,~'': : ',',', : ' <br /> <br />FORM ¢ MC ~5-56 R~V ~1/88 OFFICE COPY <br /> <br /> <br />