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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO, 226 <br />3~0 HIGH STREET NE <br />~A,~.M, OREEtON 97301 <br /> <br /> PHONE 588-5147 <br />CODE.A-PHONE 4:~3 RM · 8'00 <br /> <br />RE~tDENTIa <br /> <br />OOOUI~NCY <br /> <br /> 11769 STEINKN~1P ED <br />Ab.~4SVILLE <br /> <br />OR 97325 <br /> <br />,~R ION COUNTY NO <br /> <br />12238 ,$USLINITY ~AD SE <br />SUSL1NITY, OR 67585 <br />~-~ONE: ?69-6243 <br /> <br />~. 60000 <br /> <br /> SITE NUMBER: 6784 <br /> VALUATION: <br /> <br />AC NO NO <br /> <br />ITE~ <br /> MONTHS OLD <br /> <br /> TOTAL. AGSED~ED FEE~, <br /> PREVIOU~ RECEIPTS <br /> TH'[~ REC~I PT <br />  BALN~CE DL~E <br />PAYEE: HENDEICK$, WILLIAM I~E[PT NO; <br />RECEIVE0 BY= ~ ~PE; CK ~ECK ~= <br />SEE A~ED ~T FOR ~~TS OF ~S~ ~GE S~. <br /> <br />~J~NTITY N~DJNT <br /> $110.00 <br /> <br /> $110,0o <br /> $0. OO <br /> $1~0.00 <br /> <br /> $0, O0 <br /> 18875 <br /> <br />CITY JURISDICTION <br /> <br />DATE ....- <br /> <br />OFFICE COPY <br /> <br /> <br />