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01/12/99 TUE 17:43 FAX 1 503 588 7948 MARION BLDG INSP [~001 <br /> <br /> .................................... . MARION COUNTY BUILDING INSPECTION <br /> FOR CITY U~ ONLY ~ / COMMUH~ DE~LO~ C~ ~ <br /> <br />.................................... ~1~ / <br />I ~eco~S~,l~5 ] _.~., ~aU, ~ ( )~D~ ( <br /> <br /> Parcel ID: <br /> <br /> NOT ~r~D ~ 1~ DA~5 0~ I~CE O~ ~ <br /> <br />~o ~ ~m~ ~ <br /> <br /> C~ ~ <br /> <br />~ ~R O~ ~STA~ON <br /> <br /> ~ty: ~o: Zip: <br /> <br /> I ~ the P~OP~ O~ ~ ~, ~s~ ~ or w~ ~e i~ <br /> <br /> ~ a gene~l c~r ~ ~ ~8~ wi~ ~ Co~tr~ <br /> <br />A~llt's <br /> <br /> x <br /> <br />__ x $1200=$__ <br /> x $15,00 = $ <br /> <br /> x $12.00 = $ , <br /> x <br /> x $15.00 =$ ~ <br />-- x $15,00=$__ <br /> x <br /> x $15,00=$~ <br /> <br />-- x <br /> X $1.00 =$ <br /> <br />x $12,00=$~ <br />x $t2,00 = $ ~ <br /> <br />x $1~-,00 = $ <br /> <br /> x $15J!0 = $ <br />__ x $22,00=$ <br /> <br />$9,00 = $~,, <br />$~,00 =$~ <br /> <br />$6.00 =$ <br /> <br />x $6.00 = $ ~ <br /> <br />~ x $15.00=$~ <br />~ x <br /> <br />T(YrAL AMOUNT DI.~ <br /> <br /> <br />