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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />320 HIGH STREET NE <br /> SALEM= OIqEGG~ 97303 <br /> <br /> PHONE: 588-5147 8 00 - 4.30 <br />24 HOUR CODE.A-PHONE; 588-7904 <br /> <br /> 1~394 F..~I.,EN RD <br />AU ~OP.A <br /> <br />OR 97002 <br /> <br />NE <br /> <br />CONTRACT crrY UGi~I <br />MARION COUNTY NO <br /> <br />CATEGORY <br /> <br /> RE31DFJ~ ~ ~ <br /> <br /> PHONE., 67S-1515 <br />LO7 8LOCK <br /> <br />~iI~ NUffiBER: <br /> <br />AC ., NO NO ..... <br /> <br />30029 <br /> <br />~TER,~IpPLY: lu~ <br />~E~T HOLES READY: <br />$1~E EVALUATION NUiV~ER: <br />EXISTING TANK GIZE: <br /> <br /> iTFJ~I <br />REPAtR- I~,JOR <br /> <br />PAYS[- <br /> <br /> fc~JANT1TY AFf3JN] <br /> $80-00 <br /> <br />PRc-~'ZOU$ RP. TCEiPT$ $80.00 <br />THiS RECEIPT $0,0U <br /> <br />BAL~C~CE 0UE $0.0o <br /> <br />RECEIVED BY: DI~2 TYPE: <br /> <br />~E ATIACH~n ~f:~r FOR REquIRE~ENT~ OP' ~-~iTE S~E ~T~. <br /> <br />RE/vt~,RKS; SSPliC R~PAiR, SEldA~E 15 ~.IRFACING R~t31~4 <br /> <br />LX;-~NALD E. fl0ODLEY, t'~IARION O0UNIY ~UILDING OFFiCIA~ / ~Y <br /> <br />REV ~/~ OFFICE COPY <br /> <br /> <br />