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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 />lamaregisteredbullderOR( ) the authorized representative <br />of a reeistered builder, <br />The work will be pedormed by a registered builder, <br /> <br />AUMSVZL. LE OR 97~25 ~ARION COUNTY ~0 ~ <br /> <br />716 N BIRCH C/O D~NN.[S OLSON <br />STAYTOII, OR,, 7738;~ SITE NUMBER: <br />PHQNE~: 76~--5888 VALUATION: <br /> ~ ~L6~E~ J SEOTION: ~ TOWNSHIP; ;RANGE'. ~'~6~[ , MAP: <br /> <br /> .... <br /> <br />TYPE.- PLUMBIN6 PERMIT OR APPLICATION <br /> <br />CONTF(ACTOt% NO. <br />CHIJRCH OF GOD OF PROPHECY <br />916 N BIRCH C/O DENNIS OLSON <br />SIAYTON~ 0R,,, <br />PHONE: 769-5888 <br /> <br /> ITE~ <br />WATER LINES., 1ST lee PEET <br />PL[JHBtNG STATE SURCHARGE <br /> <br />, AYE, F,,, ::::: <br />RECEIVED BY: DF' <br /> <br />£~UANTITY AMOUI.[T <br /> <br />ZOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />~HIS ~ECEIPT <br /> <br />RECEIPT NO: <br /> <br />$2:L,, <br /> <br /> $0,, ~0 <br /> <br />ALL BECO~E NULL ANB VOID. <br /> <br />REHARKS: WL. , : <br />~)ONALD E,. [.IOO])LEY~ HARIaN COUNTY: 3UII..~ZN60FFI.,IALF' / <br /> <br />OFFICE COPY <br /> <br /> <br />