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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: 588-5'J 47 8:00 - 4:30 <br />24 HOUR CODE.A-PHONE: 588-7904 <br /> <br />SIGNATURE OF AP;~LICAN¥ <br /> <br /> DATE . <br /> <br />~.Of ,BLOCK SECTION <br /> <br />WIDTH DEPTH ARSA <br /> 50 '~ ~g <br /> <br />5000_ <br /> <br />VALg~TIO~: <br /> <br />5~ <br /> <br /> NO NO <br /> <br />~'i,~l~R 5UOPLY: C~ <br /> <br />~XIGTiN~ rANK SIZe: <br />~iSI,[NG D~iN PiELO LINES: <br />SEP[~O T$~K PU~P~C~ <br />~R~VIOUS NO, BEDROO¢45: <br /> <br /> SEE &f~ACH~D OOCU~T POR RE,OUiR~J'4EN~5 OF ON~b~TE ~WAG~ SYSTEM. <br /> <br /> ~ TNIS 15 NOT A PEI~41T, THIS A~PLiCATION lvtdST <br />F~LL~ZNG ~5T BE ~ETEO. IT IS THE R~iBiL~ OF <br />ALL NEC~ARY IN~TI~ H~ 8E~ <br /> <br />:)LAN '~' ~' 3~ .~ <br /> ~-VL_W BY ....... OAlg ................. ClfY JURi~!CI'iC~N: BY ^'~ <br /> <br />RbM~NK~: FL~JOR R~ALR <br /> <br /> <br />