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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:: 588-5147 8::00 - 4'30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />PJCi'~E:REL, ROBERT ~. <br /> <br />USb OF BUILDING <br />MAIl lNG Al}DRESS <br /> <br />NC51DL"N !' iAL ACC~Sb(,)t"~Y ~, T RUCTL!R:E:-:, <br /> <br />9/34,2 <br /> <br />LOT <br /> <br />WIDTH <br /> <br />BLOCK <br /> <br />~40 OEPTH <br /> <br />SECTION TOWNSHIP <br /> <br />SIGNATURE OF &PPtICAN] <br /> <br />TAX LOT <br /> <br />CONSIRUCTION TYPE <br /> 5-N <br /> <br />SiTE Nd~BER: <br /> ¥~LUATION: <br /> <br />RANGE <br /> 5E <br /> <br /> 3522 <br />$1,0O0- U0 <br /> <br />v~Jg' E!UILLJ!NG !>~RMi) OR APPLICAfION I ¢ <br /> <br />C;ONFRACTOR. NO_ <br />I;,> "_ C KEREL, <br />P.O BOX 54.4 <br />OL-TR(.)i I , 3!.,~ 9'7'342 <br />PHONE: <br /> <br />BUlL_DiNG <br /> <br />FL~f 5U RCHARGE <br /> <br />P~YEE: <br /> <br />ARCHZ~EC)I/~NGIN~ER, NO_ <br /> <br />TOF~L AS~ED PEES <br /> R_VIOU~ RECEiPtS <br />?BI~ R~CEi~r <br /> <br />(,)D AN ) i l Y <br /> <br />~OUNT <br /> <br />$0 <br /> <br />~,, LANCg DUE $0, O0 <br /> <br />F<COU~R~MBNIS O~ .~[i.,~ L/~W~ AND ~RiON COUNTY 8LIibDZNG ANO ~O~iNG ORDIN~NU~5, T;-I3 ,~EN~if <br />5HALL ~(;L)M~z NUL:_ iAIO V(.)iD, <br /> <br />OFFIC;: COPY <br /> <br /> <br />