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MARION COUNTY BUILDING INSPECTION <br />SENATOR SLOG, 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 />I arf~ performing work on a property I own or occupy. <br />I am a ro§istered builder OR ) the authorized representative <br />cfa regis erOd bu der, <br />lbo work will be performed by a registered buildor. <br />Other <br />I have read and a~]ree to the terms stated on the reverse side of <br />this documerd. <br /> <br />SIGNA'fU~E OF APPLICANT' <br /> DATE: <br /> <br />°WN~.'~:'fE: 0'8/20/90 'f ,I, MB; 18:08:50 <br /> <br />SITUS ADDRES~.ISSEL L, WILBURN <br /> <br />CONSTRUCTION TYPE~ '?~[}~0--~90 <br /> <br />CA'[ EGORY: <br /> <br />OCCUPANCY' <br /> <br />DEN'T I a.L <br /> <br /> 'fERRANCE LANE <br /> AUI' ,SV I L-L c <br />USE OF BU LD <br /> <br /> 2[;~0 COLE RD <br /> '/SALEM (,)N <br /> PHONE: 37'0--9 ] 0"/ <br />LOT: St. OCK; <br /> <br />~E <br /> <br />SECTION: <br /> <br />TOWNSHIP: <br /> <br />CONTRACT CITY: UGB: <br />r'4AR I ON COUNTY NC <br />sugbws~o~ <br /> <br />RAN'~&LUAT iON: <br /> <br />OCCUPANT LOAD: <br /> <br />'T ERRANCE ,%UBDi VISION <br /> <br /> ZONE~ MAP: <br /> <br />DEPTH: AflBA: 2~ <br /> <br />UNITS: <br /> <br />~S IRREG, LOT: 2W CORNE~: AR ¢"' <br />%F Nf',l ~,~r'~ <br /> <br />~YPE: ON-SITE .SEWAGE <br /> <br />PERMi~ OR APPL[CAT/ON NO; 9026555 <br /> <br />CQN1'RAC[OR. ,rkio. 4-4551 <br />,,'3WAIN 8 E'f'HEL <br />~.(.), ~QX .504 <br />tURNER OR 97392 <br />::)HQNE: ?43-2343 <br /> <br />WATER ~UPPLY; <br />'FE~'f' HOLES READY~ <br />~i'TE EVALUATI©N NURSER: <br />EXISTING ']'ANK SIZE: <br />EXiSTiNG OR,AIN FIELD LINES: <br />SEP'f'~C 'tANK ~aJ~PEO: <br />PREVIOUS NO. <br /> <br /> J 1 ~N! L)UAN 'f i 'fY ANC"%,N, <br />SAND PiLTER * $300.00 <br /> <br />TO'fAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />'tHIS RECEIPT <br /> <br />$300,00 <br /> $0,00 <br />$380_J~ <br /> <br /> , ~ BALANCE DUE <br /> <br /> PAYEE; [RUSSELL. NILSURN "-L ~ . RECEiP'[' NO' 28122 <br /> <br /> ~ THiS iS NOr A PER~41T_ ¥Hi$ APPLiOAT~N RUST GO THROUGH A REVlE~ PROCESS ~ERE THg <br />EL ~G RUSt iN~OR~C~ATi~B CO~PL-TED- <br /> THAT <br /> BEEN PROVIDED. <br /> <br />RENARKS: SAND PiLfER PERfvl].~ R:~3'?~2 <br /> <br />C!¥'Y JURXSDIC'flON: BY DArE <br /> <br /> <br />