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MAR~ON 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 /> 97325, ' ,, MAR,~OH COUNTY{ NO>' ,, <br /> <br /> PHONE: 585-2~1~ J VALUATION: ...... <br /> <br /> ........ · ., TEST ~UES READY., ...... <br />PE~[T DR APPLZCAT[~ ~ ~4~742 ': I ,,SITE ~LU~[ON ..NUfl~EE~ <br />CONTRACTOR~ NO., ' ~ EXISTING 9RR~N' F~EL:~.' E~NES~ ' <br />SAHE ........................ ~' PREV[OUg"NO';":~E~EOO~St <br /> <br /> 8939 SHAW. SQUARE RD <br /> AUMSVILLE <br />~s~'b~ ~i~O~F .................... <br /> <br />PHONE= §85-221~ ?~. [ "' <br /> <br /> ~TEM ' ..... '"""~' :~" · J,:.4'. :'~. . I~UANT"J'TY · AMOUNT <br />EXISTING' SYSTEI. t EVAL; ~":'" <br /> <br /> S160.~0 <br /> Se. 00 <br /> <br /> PAYEE~ W[LL~AMS, <br /> RECEZVED DY. H~._ <br /> ~EE ATTACHED DOCUNEN~I <br /> *'THIS ZS HOT A <br />FOLLOWING MUgT ~E <br />ALL NECESSARY INFORM~TI <br /> <br />,~:"' RECEIPT NO: 52i~5 <br /> -.~ TYPE: ~K CHEC~ ~: 90[3 <br /> <br />THAT <br /> <br /> PLAN <br /> REVIEW: <br /> <br />Z " ;' ~'' ' :''" '~'':' "' ' ' : ~- <br /> ................... . / <br /> <br />OFFICE COPY <br /> <br /> <br />