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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:: 588-7904 <br /> <br />Othof <br /> <br />06/07/91 tiNE: 16:42;02 <br /> <br />ADAf4S, JULiE ANN <br /> <br />RE5 J, DEN '¢ IAL <br /> <br /> 260 P~'VERGREE,N OR <br />AUI~V! LL~ OR 97325 <br /> <br />AUI~SV 1 LLE_. <br /> <br />UG8 <br /> <br /> NO <br /> <br />OCCUPANT I OA0 <br /> <br />8626 SE RHONE <br />PORIgAND, OR 972B6 <br />P'HON ~-: 788-~0:~53 <br /> <br />55 87 4785. <br /> <br />Sill NUtCEC~R: 13056 <br />VALUAT If,)N: <br /> <br />MAP <br /> <br />SF NO NO <br /> <br />IYPE: PLUI~B I NG <br /> <br />PERi'MI r OR APPLiCAtiON NO: 9032831 <br /> <br />CONfRACIOR, NO+ 4096 <br />VALUE ¢I~OSILE H0~gS <br />10017 SE 82NI) <br />PORrLAN0, OR 97266 <br />~: 777-979Y <br /> <br /> I ret4 <br /> <br />PLUI~ING 51AIL SURCHARGE <br /> <br />TOTAL ~ED <br />PREVIOUS RECEZPTS <br />'tHIS RECEIPt <br /> <br />QUANIiIY <br /> <br />AIvlOUN f <br /> $25.00 <br /> $3 .25 <br /> <br />$26.25 <br /> <br />$26.25 <br /> <br /> ~,~,,.%BALANCE CtJE $0.00 <br /> PAYEE: VALUE ~ILE HC~F_.~ ~"'-..~ INVOICE NO: 34625 <br /> <br />* ¥H18 18 NOT A PB~T. THIS APPLI~T~ ~ST ~ TH~ A R~I~ P~ ~E THE <br />FOL~I~ ~T 8E ~D. IT I~ THE R~ISILITY OF THE APPLI~T TO ~RE 'FHAT <br />ALL NEC~RY 1NFO~TI~ H~ BE~ P~IDED. <br /> <br />PLAN REVLON: BY <br /> <br />REMARKS: CONN <br /> <br />DAlE ......................... <br /> <br />CiTY JURiSDiCIION: MY .... DAlE <br /> <br />~o~ # MC ~-se .Er 4mo OFFICE COPY <br /> <br /> <br />