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MARION COUNTY BUILDII~G INSPECTION <br />SENATOR BLDG, NO 225 <br />220 HIGH ~TREET NE <br /> SALEM, OREGON 9'7301 <br /> <br /> PHONE: 588-5147 8:00 - 4:80 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />SIGNATURE OF APPLICANT' <br /> DATE <br /> <br />ow,[~T E -* 85jgOjgO' <br /> <br />P£~iN~, DAVJ. D G~ <br /> <br />COMSTRUCTION TYPE <br /> <br /> 20813 FIL.BERT ST <br />AURORA <br /> <br />97002 <br /> <br />NE <br /> <br />~' ~ONTRACT CITY! <br /> <br />MAILING AGORE. SS .... <br /> <br />NO <br /> <br />LOT <br /> <br />TOWN~HIP= <br /> <br />E~ITE NUMBER: 10232 <br />VALUAT ION: <br /> <br />MAP <br /> <br />DEPTH:: AR~A: <br /> <br />TYPE: ~N-.,.%~. TE 3~ <br /> <br />OONT RACTO~, NO. <br />PERK,tNE,. DAVID G <br /> <br />gQ24246 <br /> <br /> X1EM <br />~'{'~OR,[ZA[I~I~ NOTICE - FI.D. VISIT <br /> <br />TOTAL ~ED F~ <br /> <br />qUANT 1 TY AMOUNT <br /> $1o5,0o <br /> <br />$105.00 <br />$100.00 <br /> $0.00 <br /> <br />I~,LANCE~UE $5.00 <br /> <br />PAYEE: ~ INVOICE NOr <br /> <br />OFFICE COPY <br /> <br /> <br />