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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG,, NO, 225 <br />220 HIGH 3TREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00- 4;30 <br />24 HOUR CODE-A-PHONE: 588-7904- <br /> <br /> ?74~ rERRANCE LN SE <br />AU~SVJLLE OR 97~5 <br /> <br />DATE: <br /> <br />fA~' L0¥: ¢~T~C.O~Y RE~ I O~.I~l I <br /> <br />~ARI ~ COJNTY NO <br /> <br /> 3 <br /> <br />TERRANCE <br /> <br /> SITE NU~ER; 1 o65'~ <br /> VALUAT I ON; <br /> <br /> 85 2N AR 5'~ <br /> <br />~TER ~PPLY: ~ <br />T~T HOL~ R~DY= <br />S~TE ~ALUATJ~ NU~ER: <br /> <br />~I~TING D~IN FIELD LiNP~: <br />~PTIC T~K ~P~D: <br /> <br /> i T B.'~ QUANr iTY AMOUN <br /> R~PAiR- ~OR 1 $8o.0o <br /> <br /> TOTAL ~6D <br /> THi~ R~EIPT $0. O0 <br /> <br /> PAYEE: RECEiP] NO: <br /> RECEiVeD BY: CL TYPE: ~E~ ~: O <br /> <br /> SEE AT~A~gO ~N~7 FOR RE~[,R~ 0F ~[TE <br /> <br />* THIS iS A VALID ~I~ ~ THI~ ~IT ~IR~ 360 ~ ~ LiS I~E ~TE. iF <br />~i~T~CTI~ FA[~ TO M~T ~ R~I~T~ ~ STATE <br />l~I~ O~1~, THIS ~iT'~ ~E ~ ~O VOID. <br /> <br />Rar4AaKS: REPLACE DRAiNFIELD R~620 ~ <br />19ON~LD E. ~OODLEY, ~RIt, IN L,I:;)UNTY ~UILDIN~ O~FiCIAL / BY .................................~.~_ <br /> <br />0FFICECOPY <br /> <br /> <br />