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02/19/08 <br /> <br />WED 13:24 FAX I 503 588 7948 I~IRION BLDG INSP <br /> MARION COUNTY <br /> <br />FOR CITY VALIDATIONI BU1LDI~C- INSPEci'iON DIVISION <br /> 3 tSO [.~cw~ Dz. NE * Sui,,A C <br /> <br /> " .... ' L. sa, dee ladmL-d: ~ Co~ (qr.h) Sum <br />1. LOCATION OF INSTALLATION iI~.RtON---COUN';Y~ q- ,. - ~ sss.~ <br /> <br />PI~RMITS ARE NON-TRANSFERABLE AND E~PIRE I~ WORK ~ NOT <br /> S TARTffi) ~ lg0 DAY~ OF I~SUANCE OR <br /> WORK I~ gUgPENDED FOR IBO DAYS. <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br /> <br />2B. FOR OWNER INSTALLATIONS <br /> <br /> property Owner f~le~r~ print) <br /> <br /> Ci~, Stets. Zip <br /> <br /> ~001 <br /> <br />Da~:. <br /> <br />3. PLAN REVIEW SECTION <br /> <br /> We will provide plan review service if you complete <br /> Section 5B and submit two (2) sets of plans and <br /> specifications with this application. , <br /> <br />MC J5-.~4 7/97 <br /> <br />FEB-18-1998 12:aB I 583 588 ?948 97~ P.01 <br /> <br /> <br />