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MARION COUNTY <br /> RUILDING INSPECTION <br /> <br />DAT~: <br /> <br /> LAI$, <br /> <br />TIME.* <br /> <br />406~-000 <br /> <br />RESIDENTIAL <br /> <br /> 14995 4TH ST <br />AURORA <br /> <br />OR 97002 <br /> <br />N~ <br /> <br />3 <br /> <br />PO BOX 427 <br />AURORA 97002 <br />PHONE: 678'.-5779 <br /> <br />$ITE NUMBER= 5167 <br />VALUATION: <br /> <br />100 165 <br /> <br />13 <br /> <br />YES NO <br /> <br />3 <br /> <br />TYPE= CN~SITE ,5ENAC:E <br /> <br />PERNIT OR APPLICATICt~ NO= <br /> <br />COqTRACTOR, NO. <br /> <br />PO ~CO< 42? <br />AURORA 97002 <br />PHCNE: 67~5779 <br /> <br />1056~ <br /> <br /> ITEM <br />ST~DARD ON-SITE SY~TE~ <br /> <br />TOTAL A,.~O FEE~ <br />PREVIOL~' RECEI P-r~ <br />~'rs RECEIPT <br /> <br />~ALANCE DUE <br /> <br />~165,00 <br />lS5.00 <br /> $o.oo <br /> $o.oo <br /> <br />PAYEE.* INVOICE <br /> <br />RECEIVED BY: cl TY~E: CHECK <br />~E ATTACHED ~T FOR ~EQUIRENENTS OF ~SiTE ~ S~: <br /> <br />REMARF~: STANDARD SYSTEM <br /> <br />[OqALD E, t~K~ODLEY. MARION CO~TY I~JTLOIN~ OFFICIAL / BY <br /> <br /> <br />