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MARION COUNTY BUILDING INSPECTION <br />SENATOR RLDG_ NO_ 22,5 <br />~'20 HIGH STREET NE <br />,',',',',',',',','~kLEM, OREGON 97301 <br /> <br /> PHONE 588-514'7 <br />CODE-A-PHONE 4"30 RM. - $ 00 A M. <br /> <br />c~r,~,~ .r RE~'¥ DENT't Al <br /> <br /> 155 PATTON ST <br />DETR'O~T <br /> <br />OR <br /> <br />MID STATE REALTY/GARY STANFORD~ <br />BC~ DETROIT, OR 97342 <br />PHONE~ 854-3387 <br /> <br />DETROIT NO <br /> <br />SITE NUMBER,: 7178 <br />VAUJATi~ ,.- <br /> <br />10 5E NF <br /> <br />LOT NO CORNE~NO <br /> <br />105 <br /> <br />P~IT O~ AP~TI~ NO~ 901570e <br /> <br />~RD ~L~ATI~ ~P <br />MID STATE ~L~ <br />B~ D~IT, ~ 97~2 <br />~E: 854-3387 <br /> <br /> ITEM (~JANTITY AMOUNT <br />EXISTING SYSTEM EVAL. RPT, ~ 1 $100.00 <br /> ~C~ TOTAL AE~ESSED FEEE~ $100.00 <br /> ' PEEVIOU~ RECEIrpTS $0.00 <br /> 'THIS RECEIPT $100. O0 <br /> ~ALANCE, DUE $0. O0 <br />PAYEE.' HOWARD REL.OCATIC~ GI~DUP ,: ..... ~: ..., INVOICE NO: 115696 <br />P, EC~iVED 8Y,~ ¢'1 <br /> <br /> ...... TYP,E,~ IN CHECK 0 <br />SEE ATTACHED DOCU~T Fm ~I~.",~'OF,(]'~IT,E ~/{A~,~TE~/I. <br /> <br />P~ R~I~: 8 .. ~TE. .. ; CI~ JURI~CTI~ 8Y ~ ~TE~, <br />R~R~ LO~ <br /> <br />OFFICE COPY <br /> <br /> <br />