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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGFVSTRE'~T NI= <br /> SALEM, OREGON 97301 <br /> <br />s-us ~o~tE~TET~.:R, 8Dk~NARO " <br /> <br />TAX LOT: <br /> <br />............... .................... ....................... : .............. '. <br /> <br />3 <br /> <br />TYPE: ON-.~ZTE GENAGE- <br /> I T~T HOLI~ <br />PE~t~I!!' OR APPLICATION NO: 9027508 ~$ITE E~A~ATi~ ~: SE83-1950 <br /> <br />~AYT~ NiLL CITY 5ILVER'F~ SEP <br /> <br />5'FAYT~, OR~ ~7383 <br /> <br />PRE.RE OI~'TRIBUT'I~ ,. 1 $165. gO <br /> <br /> PR~N&~S R~CEI PT$ $o_o0 <br /> THI~ ~iPT $!~5.o0 <br /> <br />PAYEEt RIE,~T~RER, BERNARD <br />~ECEiVgD BY= PR ,,, <br /> <br />BALANCE 0U~ $0. O0 <br /> <br />R~Ei~'I' NO: 29105 <br /> <br /> 'TYPE: CK CH, P~CK ~: 105'~ <br /> ,,::::.-~ ....... ::::: - , <br /> ,~EE ATTACHED DOCU~F__N'I' FOR ~)UiRP,~.~EN',r~ OF ~'TE ~ ~. <br />~ THiS l~ NOT A PE~IT. THiS ~LI~T[~ ~ST ~ TH~ A R~[~ P~ ~g~ THE <br />~I~ ~y BE ~PLET~O. IT 15 THE ~[BILI~ ~ THE A~i~T TO ~RE THAT <br />ALL NEC~ IN~Ti~ '~ ~ p~ZDED. <br /> <br />R~RK~~. PA'~_T~R~ DiSTRIbUTION 1~3333 <br /> <br />CITY JURIS0!CTION~ BY ....................... DA'rE ................ <br /> <br />OFFICE COPY <br /> <br /> <br />