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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO 225 <br />220 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 />I am a registered builcler OR ( ) ~he authorized represenl~tive SIGNATURE OF APPLICANT. <br /> <br />0?/05/90 <br /> <br /> 't' i D4~_- i5:07 i~i ........... <br /> <br />R1 C'HAR~ <br /> <br />DENT <br /> <br /> 5983 ~AL)NA COURT <br />AU~VILLE <br /> <br /> cON't RACY CITY:: <br /> SE <br /> 97325 <br />............... ~ f~' ~ ~y <br /> <br /> 6830 E~JNSEr u4&y <br /> TU~NER, OR 97392 <br /> PHON£: 743-2723 <br /> <br />W~TH 1W BEtH I .... !'A~A:: <br /> 356 ~2-. <br /> <br />ROI.LING GREEN ~,~"TATE~ <br /> <br /> ~IT~ NUiVf~ ER: 10585 <br />· TOWNShiP)::' -' RAN~;t.-"~,~AT-ION: z6gt ' MaP' <br /> <br />FYPE: ON-~II'E ~k*~A. GE <br /> <br />PERMif OR APPLICAFIC~ NO: <br /> <br />CONTRACfOR, NO. <br />,~TU1HEi'T, RICHARD <br />E, ar$0 f~JNSET WAY <br />TURNER, OR 9'139~ <br />PHONE: 743-2?23 <br /> <br /> ! TF_.~ <br />SI f~ ~-¥ALUArlON, Pl~"f' LOT <br /> <br />PAYEE: ~fU'FH~11, RICHARO <br /> <br />YOTAL A~5~EID FEFJ~ <br />TM.tS RF-.J~£ i PT <br /> <br />BALANCE OJE <br /> <br /> ~XJANT I TY A~F,3UN I <br /> 1 $175.00 <br /> <br /> $775~U0 <br /> $o.oo <br /> $175.00 <br /> <br /> $o.0o <br /> <br />REC~-i PT NO*. 26855 <br /> 149 <br /> <br /> BY: OM2 TYPE: CK CHECK <br /> <br />IA~.~g~ g~DCU~NT FOR R£(~J~R~E~TS O~ ON-SITE ~AGE ~YST~. <br /> <br />OFFICE COPY <br /> <br /> <br />