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MARION COUNTY <br /> BUILDINO INSPECTION <br />Building · 220 H~.~h Street N~ · ~econd I. Ioot· Salem, Oregon <br />~our~ a (~l. 4 ~{1 Phone ~-~14~ C~-A~Phonc 4 ~01? m <br /> <br />AURORA COLONY HISTORICAL E~CIETY <br /> <br />90160-500 <br /> <br />RESIDE <br /> <br /> 15018 ~NO ST NE <br />AURORA OR 97002 <br /> <br />N0 <br /> <br />P.O. aOX 202 <br />AURORA, ORFJgC~ 9?002 <br />~HONE: 6?8-5754 <br /> <br />SITE NU~ER: <br /> VALUATION: <br /> <br />12 <br /> <br />4S <br /> <br />1W <br /> <br /> NO <br /> <br />NO <br /> <br />3 <br /> <br />TYPE: ON-SITE ~ <br /> <br />P[~IT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />AURDRA COLONY HIb-'TORICAL <br />P.O. SOX 202 <br />~JJEO~R~, OREGON 97002 <br />PHr~E- 6?8-5?54 <br /> <br /> ITEl <br />REPAIR -MIdOR <br /> <br />NATIS~ ~UPPLY: Cig <br />TEST HC~,F~q. READY: <br />SI~ ~A~ATI~ ~ER: <br />~ISTI~ T~K SIZE: <br />~I~TI~ ~IN FIELD LIN~: <br />~E~C T~K <br /> <br />OJANT I TY 1 <br /> <br />TOTALAE~SF.~qSED FEELS <br />PREVI~ RECEIPTS <br />THIs RECEIPT <br /> <br />BALJC~CE DUE <br /> <br />AMOUNT <br /> $~o_00 <br /> <br /> $~0.00 <br /> $o.oo <br /> $~0.0o <br /> <br /> $o.0o <br /> 0 <br /> <br />ALL NEC~ INSO~TIC~ HAS BESt ;~IDED. <br />REMARKS. FIAJOR REPAIR ' <br /> <br />CITY JURISOICTICN: ~Y, <br /> <br />PAYEE: AIJROP& COLONY HISTORICAL ..~]CIETY INVOICE NO: <br />RECEIVED BY: cl TYPE: IN OriEC}( It: <br /> <br /> :IS-NOT a .............. ----' <br /> ~ ¥HI$ APf~ICATICN ~ GO THROJiiIq A I~;VlIEkl PROCE:~ ~,e-lE~[ THE <br />F0~LC~ING NUST BE ~16O. IT i~ THE Ri?=PCN,SIBII,.ITY OF THE APPI. I~ TO A$~JRE THAT <br /> <br /> <br />