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CONTRACTOR'S NAME: <br />S~VISOP~ <br />MAILING ADDRESS: <br />JOB ADDRESS: <br /> <br />DATE: <br /> <br />LIC. #: <br /> <br /> BUILDING INSPECTOR <br /> <br />FOR NEW SINGLE FAMII,y DWEI,I JNGS ONLY <br /> <br /> ! <br /> <br /> Marion County SERIAL# 2 <br /> BUILDING INSPECTION <br /> <br /> ~ ~ DATE:~ iT. <br /> , ( i / /7 PE~va-r~.--~/~ <br />CONTRACTOR'S N ~ ~w . CCB ~:~ <br />~0~ ~ - ' ~C. ~ <br /> <br />~ ~E: ~G ~' E~IC~ ~C~C~__ <br /> <br /> BUILDING INSPECTOR <br />FOR NEW SINGLE FA1KILY DWELLINGS ONLY <br /> <br />~ Mari~ COUnty ~ <br /> BUILDING INSPECTION <br /> <br /> SALEM HTG & SHT METAL /'1505 <br />CONTRACTORS NAME: __ CCB #: <br />sUPERvisoR: B111 Connelly LIC. #: <br />MAI~NGADDRESS: P.O. BOX 1-'2-~-0-~-, Salem OR 97309 <br /> <br />JOB ADDRESS: 'P~ ~"I- 'b ~-q"~-ol JOB #: <br />PERMIT TYPE: PLUMBING ELECTRICAL MECHANICAL__ <br />WORK DESCRIF~ION: <br /> <br />X <br /> <br />HVAC <br /> <br /> BUILDING INSPECTOR <br /> <br />FOR NEW SINGLE FAMILY DWELLINGS ONLY <br /> <br /> <br />