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MARION COUNTY BUILDING INSPECTION <br />SENATOR I~LDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 91'301 <br /> <br /> PHONE: $8875147 8:00- 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />PHC~E: f~78-2258 SiTE NUIVlSER= 4855 <br /> VALUATION: <br /> <br /> .............. ~---~ ~ 1~ -. ~ .... ~ ......... ~' <br /> <br />TYPE'.. (~i-.~ITE SE'~£ <br /> <br />pERIVIIT OR APPLICATION <br />OONTRAC?OR. NO. <br /> <br />PHONE= 6?8-2258 <br /> <br />30918 <br /> <br /> iTIE~I (~ANTITY A/vI3UNT <br />AUTHORIZATION NOTICE - FLO. VISIT 1 $105.00 <br /> <br /> TO~ALAE~D FEES $105,00 <br /> '~[~ R~EI~$ $105.00 <br /> TH/~IPT $0.00 <br /> <br />eALaJ~CE I~E $0.00 <br /> <br />PAYEE~ RECEIPT <br />F~C'EIVEDSY= P~. -:: ~-- ?__~:_=~ ~-- ..-- TYPE= CHI~CK <br /> <br />SEE ATTACHEO ~T POR R~JLREI'q~NT~ Of= C;N-~ITE SE~E SY~TEI~. <br /> <br />R/:~.~: AUTH FIELD CHECK R~7248 <br /> <br />C~NAL.O E. I~iOOOLEY, IVlARION COUNTY BUILDING OFFICIAL / BY <br /> <br />FO~ ~ ~c ~.~ ~v,, ~ OFFICE COPY <br /> <br /> <br />