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MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG, NO. 225
<br />220 HIGH STREET NE
<br /> SALEM, OREGON 97301
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<br /> PHONE: 588-5147 8:00 - 4:30
<br />24 HOUR CODE-A-PHONE: 588-7904
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<br />DATE~ ............................
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<br />~ ~u~ '~: ....................................................................... ~'~h~fi~;"'f~; .......................... ?~b~x~ ' '
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<br />, , U~,, ~.1. I ..... OR ?7323 ~,~R~,~N .OuhTY IN~
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<br />~ ~- ,~ ~,~. ", ...............
<br />, S~TE N~R~ ~4-~3267
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<br /> ..................... ............... .......... -'
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<br /> T'YP~; ON--S~TE SE~A~E
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<br /> ~AT,o,, ~RZAN ,- ! S~P'f~C T~N~ PUMPED: 7/30/~4
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<br /> PH(:~NE: 749--14~5
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<br /> ITEM ' ' ' '
<br /> AU';~ ;RIZATIO~ FOTICE -':.FL.g;:' V~IT ' ;",'"" , 1
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<br /> .' :', "," ,,' , ",," ' .. :PREV-~US. RECEIPTS.
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<br /> · . ..... ,.. ...... ,..,,. ......... ~AL~HOE,, D~[ ·
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<br /> ~YE . - ..... - ............ .,.
<br /> R~,.,~=~VED BY~ D].~. ·" .'"..'
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<br />. ~.THIS IS A VALID PERfl~T~'~.".'.~S.p~E~IT EXP[RE~,,3&8 ~AY~ ~ROH lis ISSUE ~ATE.
<br />Z~: q~, OR~] ,A[CES~ THIo PE~,I~,'S~A[L, BECO~E';.NUL/:' AN~" VGZb, ' ......
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<br />OFFICE COPY
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