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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 22B <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 />) I here read and egre~o the terms ~ta~ed O~ ~'e teveT~e si~e O~ <br /> <br /> PHONE." 74~2~79 ~ VALUATION= <br />~ID H: ,~E~: I AREA; ~ UNIT~ ' ~ I~RE~'~ ..... ~ ~RNE~: ..................... <br /> <br />~ATER SUPPLY: P~ <br />TEST HOL~ RE~DY~ YES <br />$~TE EVaLUaTION NUMB~'R~ <br /> <br />OFFICE COPY <br /> <br /> <br />