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MARION COUNTY BUILDING INSPECTION <br />SENATOR I~LDG. NO. 228 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-8147 <br />CODE-A-PHONE 4;30 P.M.. 8:00 A.M. <br /> <br />IdW~e~. NICSOL, STEVEN <br /> <br /> 12164 N. STAYT(~4 ED <br />AUMSV ! LLE OR <br /> <br />97325 <br /> <br />SITE NUH~ER: 4394 <br />VALUATION: <br /> <br />REPAIR - MAJOR ~ ~./~;=~ $~0.00 <br /> ~.-' , TOTAL ~ED FE~ $80.0O <br /> ~t~ R~EID~ $0.00 <br /> ~ ~I$ R~EIPT <br /> $eo.oo <br /> <br /> ~OE ~E $0- O0 <br />PAYEE: ~IN 8E~L & ~S ~ RECEIPT NO: 12417 <br />~IVED ~Y: CL ~: CK ~ECK ~: 12ta <br /> ~ ..... . ~ ~ ............ <br />~ A~A~ ~.~T FOR ~',ZR~S OF ~Z~,,S~ S~T~. <br /> <br />· o~.. MC,> ~..er e~o~ OFFICE COPY <br /> <br /> <br />