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411/0 ) <br /> ,refeme: <br /> :„ _, <br /> 44-t-Arti oaR di R: 4 <br /> CLEANING-INSTALLATION-REPAIRS LLC <br /> rn) <br /> E4 VIE <br /> U ii1.10 P.O. Box 1282 <br /> 97381 <br /> Silverton, OR <br /> (-NAME CCB#201683 <br /> Ph 503-874-9414 _ 2424 <br /> www.oregonsewer.com <br /> DATE <br /> JUN 13 20113 vo(,-///-1 [34 V6/614/1 <br /> ADDRESS PHONE <br /> MARION COUNTY 6r2-ip K,th,vdewek LJA <br /> BUILDING INSPECTION CITY STATE ZIP <br /> /2- <br /> JOB NAME P.O.# <br /> QTY DESCRIPTION AMOUNT <br />• Z-160 <br /> < 15 Pne- igay ; <br /> 1 7iv5 (2, /A.4 5-1 /0-02-4-t- 1 117 <br /> egri lc/ wawi,/ <br /> RECEIVED BY • TOTAL <br /> • <br />