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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 />ow~.f¢~l ~.. t 10/09/90 riME: <br /> <br />S~TUS AOOnE.",'~j'L'L'~E'R' 5A~,UEL <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYPE 4092 <br /> <br />CATEGORY <br /> <br />occuP,~r4c¥ R~..% t DP_N I IAL <br /> <br /> 2042l E]OON~5 HgRRY RD <br />~U [~,3RA OR <br />USI~ OS BUILDING <br /> <br />97002 <br /> <br /> )9]5 IflARRtSJON ~E <br /> ~4fL~NAUKi~. OR 9'7222 <br /> °HONE: <br />J CT RLOCK <br /> <br />5BCTION <br /> <br />NQ <br /> <br />IYPE: PLUC4B ING <br /> <br />PBRMi I' OR APPLiCAIiON NO: <br /> <br />CON/RACrOR, NO_ OEO 33458 <br />Jt~ HICK5 EXCAVAtiNG <br />P.O~ BOX 697 <br />CANBY, OR 97013 <br />~flONE: 265~5975 <br /> <br /> IrE~ <br />Skier L~N~5, 1~[ 100 REEf <br /> <br />9021885 <br /> <br />TH~ RECBiPI <br /> <br />$0.00 <br />$o_ o~J <br /> <br />BALANCE DUE <br /> <br />PAYt-k: ~Er_,h,~ Pr <br /> <br /> RECglVED BY: CL ................... 'lYRE: Ct"tECK <br /> >x THI.S 'ES NO[ A P~kl'4J.r+ 'fHL~ APPLiCATiON f,,,iLIST <br />POLLONIN8 r,4U~I Bg L.~F't'LETE.O. JET f8 THE F~ESPON.SLqILITY OF THE APPLICANf lO ASSURE rHAr <br />ALL NEC~.~RY iN~ORfcCNfION HA.% BEF. N PROVIDED. <br /> <br />PL,¢.I4 REVIEW: BY ........ DAlE <br />RI~MARKS: 70 P'I SL BAL <br /> <br />C~'IY JURiSDICTiON: BY DAlE <br /> <br />OFFICE COPY <br /> <br /> <br />