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MARION COUNTY BUILDING INSPECTION <br />SF~NATOR BLDG NO. 225 <br />2~0 HIGH STREET NE <br /> SALEM= OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00- 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />DAIg~ 10/29/90 lIME: 13:~6;24 <br /> <br /> CAPP, RFJ~ERT & JOANN <br /> <br />RE~iDEN fiAL <br /> <br /> 1¢020 C6t=~E~A s'r NE <br />AURORA OR 97002 <br /> <br />USE OF ~(JILDING <br /> <br />22'140 MC~EY AVE NE <br />AURORA, OR 97002 <br />P'HONE: 578-2558 <br /> <br />LO"( I~LO01~ ~ECTION TOW~ I~ <br /> 70 100 7000. <br /> <br />E4JN~ET HAVEN <br /> <br />$1TE NUMBP~R; 11600 <br />VALUAT iON: <br />CLiNiC ZONE <br /> <br /> NO NO <br /> <br />MAP <br /> <br />tYPE= ON-~I [E E~E <br /> <br />P~RI~ll OR APPLiCATiON <br /> <br />~ON ~'RAC I'OR, NO, <br />CAPP, ~ERT & JO~N <br />22740 ~6~ AVE fie <br />AU~, OR 93002 <br />~E; 678~2558 <br /> <br /> iTE~ <br />AUIHORIZArlON NO'flOE - FLD. visit <br /> <br /> 0UANiI'I"y A~OUNr <br /> 1 $~05.00 <br /> <br />I'OTAL A.~O FEES $~05.00 <br />PREVI~ RECEIPTS $0.00 <br />THIS RECEipT $105.00 <br /> <br />BALANC~ DOE $0.OO <br /> 30006 <br /> <br /> PAYEE: CAPP, RGY~ERF & JOANN RP-CEJ[Pt NO: <br /> REC6IVEO WY: PR TYPE: OK C~K ~: <br /> <br /> 5~a ATIACHE0 ~UM~T FOR R~IR~TS OF ~iTE ~E $~T~, <br /> .......................... <br />~OLL~I~ ~7 ~E ~PLeT[O. IT [S ~HE ~5[SILITY O~ TH~ APPLI~T TO ~RE ?HAT <br /> <br />RbiViARKS: ~SEPIIC AUIH - FI,6LO ViSiT RAt3368 <br /> <br />cirY JURI$OIC"r'IO~: 8Y <br /> <br />DATE <br /> <br />OFFICE COPY <br /> <br /> <br />