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MARION COUNTY BUILDING iNSPECTION <br />$'fiNATOR f~LDG NO 2c'5 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97303 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />GILLES. RAY'~ON0 <br /> <br />DATE <br /> <br />~80~-0-000 <br /> <br /> 31200 0(3X~LD fid N£ <br />AURORA OR 97002 <br /> <br />MARION COJNTY NO <br /> <br />195 1600 312000, <br /> <br />38464 <br /> <br />{~AT~R SUPPLY-+ Phi <br />TEST HOLES RF.;ADY: <br /> <br />$13E EVALUATiON NUIfl~ER: 37931 <br />EXISTING TANK SIZE: <br />J~Xi~TiNG DJ~.AiN FIELD LiNE~: <br /> <br />PR~I~M NO. BED~: <br /> <br /> ~OI"AL ~ED FE~ $210.00 <br /> P~i~ ~EIP~ $210.00 <br /> THI~ R~Ei PT $0.00 <br /> <br /> PAY~; t~.~ RECEIPT NO: <br /> R~EIVED 8~: ~~ TYPE: ~ECK ~: 0 <br /> <br /> ~EE ATT~ED ~ FOR RE~I~T~ DE ~iTE ~ <br /> <br />~ ~l~ iS A V~lO ~IT * THIS ~IT ~I~ 360 ~ <br />~T~J~ FAI~ ~ ~ ~ ~~ ~ STATE ~ <br />Z~l~ ~I~. THIS P~IT ~ B~ ~ ~ <br /> <br />R/~IA~: G iANDAR0 <br /> <br />[X.,~IALO E. ~(,Y.3DLEY, MARIO~ CC~INTY E~UILDtN~ OFFiCiAL / I~Y <br /> <br />OFFICE COPY <br /> <br /> <br />