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MAR~ON COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STREET NE <br /> SALEM. OREGON 97301 <br /> <br /> PHONE: 588-5147 8:~0~, ~ - 4:80 <br /> <br />o a re0t~tered bui der- <br /> <br />~E <br /> <br />PHCNE: 678-270~ <br /> <br />DATE'.. .. <br /> <br />I~ : ' <br /> Ri[ON C~NTY i NO <br /> <br />678-2700 <br /> <br />WATER E~IPPL.Y = <br />SITE EVALUATION ,,NOiV~ER: <br />EX,[STIN~ TANK S~ZE~ <br /> <br />IT~ <br />REPAIR - MAJOR .. <br /> <br /> . .' ,. T~TAi~ '~D F~ <br /> · , :.' ..,,; :THZS-:~CEiPT" <br /> <br />PAYEE: ~CI"IUE~Iii'~i, IVAN <br />RF_.¢_~ I~Y: ~1 <br /> <br />~IUANT I TY ~T <br /> I $80.00 <br /> <br />$80.00 <br />$80.00 <br /> <br /> .... · ''.'. ',,' ... , RECEIPT NO= 28301 <br />................... =___2.~ .......... TY'P~: CK CHSC~: 1688 <br /> <br />OFFICE COPY <br /> <br /> <br />