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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 />~4 HOUR CODE-A~pHONE: S88-TB04 <br /> <br />OWNER~ <br /> DA'rE= 07/24/91 TIME: 17.-18:09 <br /> <br />SITUS ^OO~e,~EA. DOR~, HAROLD ~' ELAIN <br /> <br />SIGNATURE OF APPLICANt= ...... <br /> <br />DATE: ..................... <br /> <br /> 10107 I~ALD RD NE. ! I ............. t ....... ,? ~, ~o,~s: <br />~J~G. MARION ~NI'Y NO ~ <br /> .............. ~'~m~i~ .................................... <br /> <br />33442 <br /> <br />QUANTITY <br /> 1 <br /> <br />,AI'4G'.,'.,'.,'.IUNT <br /> <br /> ~60,00 <br /> 60.00 <br /> $o.oo <br /> <br /> · Vof ' ASSESSED <br /> ...", ' PR~¥iOUS RECEIPTS THIS R~EIPT <br /> <br />PAYEE: , ' ,," , RECEIPT NO: 0 <br />RECEIVED ~Y~ c~ ....................... ~ ......... ~ ..... . <br />,SEE ATTA~EO ~N~'r F~R-R~.Z'R~T~ OF ~[TE S~E <br /> <br />RP3V~RKS: HOSP AUTH R~6595 ~J] <br />DONAbD E. HOODLEY, I~ARIONCOUNTY BUILDiN~ OFFiCIAb / 8Y ; .....................................~ <br /> <br />REV. ~ OFFICE COPY <br /> <br /> <br />