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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG. NO, 225 <br /> ,,~ 280 HIGH STREET NE <br /> '~'" SALEM. OREGON 97301 <br /> <br /> PHONE 68'8-514~' ' , - <br /> <br /> The work will ~ ~orm~ <br /> Othe~ <br /> <br /> ~OX. N~CHAEL ............................... <br /> <br />~E: 769-72~9 ~ SITE NU~ER: 2741 <br /> <br />TYPE: <br /> TEST ~L~ EEADY= Y~ · <br /> SITE ~A~T[~ NU~ER= <br />P/~IT OR APPLICAT[~ NO: <br /> <br />~E: ?69-7269 <br /> <br /> ;TEN ~)I, JANT [ WY AHOUNT <br /> SITE EVALUATIoN, FI~T' LOT ' ' ""' <br /> · .,,-,:,,, ~ $~ss_oo <br /> <br /> · ' .'...,TH. IS R~EIPT' - . ' $185,00 <br /> <br /> "" '" ' <br /> ~EIVED BY: p _ .. '. ~ ~ . ,. ~E.',CK..,.~ECK ~; <br /> <br /> ".: ~,; ~,,,', '?/:.'~.. <br /> ...... J,: <br /> <br />~TZ~ P~IT5 ~T BE ~TAIN~ BE~,,~I~I~' O~ ~iC I~T~Tlffi 8~I~_ <br />PL=~ R~I~: 8Y~_ ~TE ....... CI~ JURISDtCTI~: BYe__ ~TE' <br />~w~R~= SITE EVAL ~ '"' '"' ' ' '""" -" <br /> <br /> <br />