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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 <br /> CODE-A-PHONE 4:30 P.M. - 8:00 A.M, <br /> <br />DATE: 04/23/'8? T[M.~= 1:27=2319 <br /> ~U$IC, ROBERT <br /> <br />230 CENTER STREET <br />OETROIT OR 97342 <br /> <br />PHONE: 854-375 <br /> <br />EXISTING,. ~/~Tl~ EVAL. RPT. <br /> <br />~I~NA?UR~ OF APPLICANT: . , . <br /> <br />DAYE: ............. <br /> <br />R <br /> <br /> MAY <br /> <br /> ~ SITE N~JI~ER-* 1163 <br /> · VALUATION: <br /> <br /> HATER ~PPLY~ <br /> T~T HOL~ <br />9001751 <br /> ~I~TING T~K <br /> ~IST~NG D~IN F~ELD LINE~ <br /> ~EPTIC T~K ~MPEO: <br /> HOLDZNG T~K ~RE~T~ <br /> <br /> AFF [ DAV~ T: <br /> HINTER NATE~ ~K: <br /> <br /> ~TITY ~NT <br /> SBO. OD <br /> <br /> ~TAL ~ED FE~ $50.00 <br /> ~I~ RECEIPT $60. O0 <br /> <br />PAYEE: t~IUS iC, <br /> <br />INVOICE NO: 2241 <br /> <br />RECEIVEO BY-- dm___. TYPE: IN Q-IECK ~-. 0 <br /> ' - ........... : <br /> <br /> . ' · ' ' "..'=<;::t'~'".'~"., ~ .." .':" <br /> <br /> <br />