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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH STREET NE <br /> SALEM, ORE,ON 97301 <br /> <br /> ~, PHONE 588-5147 <br /> CODE-A-PHONE 4:30 P.M. - 8;00 A.M. <br /> <br />OWNER: : T~X <br /> H[~, AR~UR 56253-000 <br /> <br /> ~ILLE ~ 97325 <br /> <br /> ~E: 749-2808 i ~I~ <br /> 40.0000 } ~ ~ NO ~ <br /> <br />TYPE.+ ON--SITE ,SENAGE <br /> <br />PEI:~4['T OR AJ:>PL1'CATION NO.* <br /> <br />O;TNTRACTOR, NO. <br />H I CY.'~, .~J:rD'IUR <br /> <br />PHCNE = 749-~:606 <br /> <br />3356 <br /> <br /> · .zTm : ............. <br />· AUTI~:)R~ZATTCN NO'~1'CE - FL'D_' VISIT <br /> <br />'TOTAL ,A..~ED FEES <br />PRE~I~U3 PJ~CEIPT$ <br />'l~IS. RECF_[PT ... <br /> <br />OUANTITY <br /> 1 $65.00 <br /> <br /> t65.00 <br /> 65.00 <br /> '$0.00 <br /> <br />,, .eAL~CE DUE .... , $o.oo <br /> <br />REMARKS= r~2757 "' '. "", " <br /> <br /> <br />