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MARION COUNTY' BUJLDING INSPECTION
<br />SENATOI~ BLDG. NO, 22,5
<br />220 HIGH STREET NE
<br /> SALEM, OREGON 97301
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<br /> PHONE; 588-5147 8:00 - 4:30
<br /> 24 HOUR CODE-A-PHONE; 588-7904
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<br />.......... ~g..~-r=,,~,,,,.O_8../_Qg,/.,g2 T I1,~1~.~.. ) ;~_..' 5,,~.,L28 ..................
<br /> O'BRI FJ'% CHARLES
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<br /> J OOCU~ANOY:
<br />
<br /> 14712 A~E~ ~ NAY j CONTRACT C~tV:
<br /> ~RA OR 97002 t '
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<br /> ~U66'iV ..............................................
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<br /> 101~ ~, ~U~ ~ .................................................................................................
<br /> ~g: 266-2139 ~ ~iTE NU~ER: 92-02074
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<br /> Y~ NO
<br /> ,., ............................. ;,,,,_ ......................... ,,~ ....... ~ ......... ~ ............................................ ~ .................................... . ·
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<br /> TYPE: ~iTE 8E~E ~TER ~PL~:
<br /> T~T MOL~
<br /> PE~i'F OR APPLICA'Fi~ NO: 9040~4~ 8~TE EVA~ATi~ NU~ER~
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<br /> ~T~C'FOR. NO. ~iSTiNG O~IN FiELO LiN~:
<br /> O'BR]~, ~ARL~ SEPTIC T~K
<br />
<br /> ~E: 266-2139
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<br /> ITEM · ' .. ...~'.{ .. · · ~Ti'I'Y ~NI'
<br /> S'f'~RO ~-~iT~ S~T~'., -: . ,,: I $210.00
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<br /> · ...... ,-.... · ~ ~, ~O~L- ~0 ,,FE~S, $2
<br /> ..... :.;g.,;;:r: :-~t.~:.:,,.,:'..~R~ 'R~EiRT~ ',' $0.00
<br /> $270,00
<br /> ":' .::..,." :'.: .T~iS 'REOEJPT. -.".
<br /> ,'
<br /> ~AY~E:'.O BR]~.' ~ARL~' , ,',,,',?~":, "'::~:" ".'"' ;.',,,:;,,,':;'. ::, "~' ~NVO]CE
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<br />~LL~N~ ~T B~.~L~.,'L~$...I~.~N~;;?~'I'8i~iTy'~ ~ APPLI~T TO ~ THAT
<br />~LL N~ IN~Ti~ M~,B~. ~_' .' ','" ......
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<br /> RE~R~: NE~
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<br />RE~iDEN
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<br />OFFIOE COPY
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