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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 8:00- 4:30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />OAI~; 32/03/90 liME: 11;53:25 <br /> <br />OWNER E~'IERY, ADRIAN <br /> <br />68952-000 <br /> <br />RES1 DEN f <br /> <br />435 NORf'H 3ANriAM H~' <br />~E1 ~)i I OR <br /> <br />5717 ~4'~H AVE <br />KEIZER OR 9'1303 <br />PHONE: 390-1137 <br /> <br />97542 <br /> <br />OEf~i I NO <br /> <br />LOT 1 ~ E~t CC K <br /> <br /> TOWNSHIP RANGE ZONE MAP <br />O1 10 5E <br /> <br />~ERMI11 OR APPLICAIION NO: <br /> <br />CONTRACIOR, NO. <br />E~ERY, ADRIAN <br />6717 14rH AVE <br />KEiZER OR 9?303 <br />PHONE: 390~113'/ <br /> <br />9029057 <br /> <br /> I TEl4 OUAN [ 1 ) Y ANK~UN <br /> <br /> PRE¥iOU~ RECEIPt5 $0. DO <br /> ]HIS R~EiPI $37b.00 <br /> <br /> 8A~NCE ~E $0.00 <br /> <br />PAYEE: ~ERY, AORi~ ~ iNVOlCE NO: 30704 <br />R~EIVEO BY: ~ ~ IIypEI IN CHECK ~: <br /> <br />SEE A'fTACHCD ~RENT FOR R~R~TS OF ~-8I'rE 8~AGE 8YST~. <br /> <br /> NorE: THiS OOE~ NOIr ~P-,,~IIr ~ iMPLY PERMISSION To 8UiLO ~ THI~ PANEL, P~NIN~ ~O <br />~SF~C'I ION PE~i~ST BE ~TAINEO 8EFOR~ BUILDING OR SEPTIC iNStALl'f tON B~INS. <br /> <br /> P~ <br /> REVI~H: <br /> BY <br /> <br /> RE~ARt~: ~I~E EVAL <br /> <br />FOF~ N K4c l~-senEv 4/90 OFFICE COPY <br /> <br /> <br />