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[vIARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br />PHONE: 588-5147 8:00 ~4:$0 <br />HOUR CODE-A-PHONE: 588-7904 <br /> <br />TIME: 'f2='20: 28 <br /> <br />8983 I~ STAyTCX, i RI] SE <br />AUM~Vi LLE OR 97325 <br />USE OF BU'ILD~'N~ ................................... <br /> <br /> ,SANE <br /> <br /> PHQN~=: 749-2214 <br /> <br />gOT BLOCK: <br /> <br />WIDTH: DEi:erH <br /> <br />9028.541 <br /> <br />TYPE: ON-SITE E~EW;AGE <br /> <br />~RfftIT OR APPLICATION NO: <br /> <br />~E: 749-2214 <br /> <br />~ATER ~51.JPPLy: <br />TEE~T HOLES READYi~ <br />SiTE EVAJ..UAT I(3~1 <br /> <br />~PTIC T~K .,~D: <br /> <br />QU,N~Ti TY <br /> 1 <br /> <br />TOTAL A.-~D P'EE~ <br />PREVIOL~ RECEIPTS <br />THIS RI~.. I PT - <br /> <br /> ',, <br /> <br /> · ~IPT NO: <br /> <br /> AMCUNT <br /> $50.00 <br /> <br /> $~o.oo <br /> $o.o0 <br /> $50.00 <br /> <br /> $0.00 <br /> <br />~0156 <br />!695 <br /> <br />FICE COFY <br /> <br /> <br />