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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: S88-7904 <br /> <br />I am e registered builder OR ( ) the authorized represe~tatlve <br />of a registered builder, <br /> <br /> ~¢-~ '/'.. .~.~'-.-.~ ~:' & C,'¥:::L]LYN ~, ~": ~"" '" <br /> fff~Js '^'b'o~Ess: ...................................................................................................... <br /> <br /> ,~t Fi~V!L r ~'i~:' o7~')'S ~:,;'r '~hl ['nUNTY <br />~'~'~1 (;J ~ ~ ~ ~'8"~"~'~'~ ~ ! ~ SUBDIVISION; <br /> <br />TYPE= DM-SITE <br /> <br />CONT ~ h{lTF []F;', I~i0,. <br />W/~L_Z,¢ J,qMES P. & CAP~0L.YN S,, <br /> <br /> HI }, ,._ <br /> <br /> f'0 'AL ,qSSESSE~ ..... ~ <br /> <br />* THIS IS ~OT A PERMZT. THIS APP~'IC~Z~N .~8ST GO.,TN~U~', A ~EVIEW PROCESS ~HER~ ]'FIE <br /> <br /> '~ · ,,, <br /> <br />~o.u ~ ~c ~s.se .~v. 4~o OF FICE COPY <br /> <br /> <br />