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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG 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 />OATE <br /> <br />USE OF BUIL01NG <br /> <br />MAiLiNG ADDRESS SUBDIVISION <br /> <br /> I have read and agree to the terms stated on the reverse side of <br /> <br />OAf Et 12/1~/90 fll'VlE= '10:69=01 <br /> ALBE~o, JiM <br /> <br /> 14720 ALBEF~ WAY -- <br />AU~RA OR 97002 CONTRACT CITY UGB OCCUPANT LOAD <br /> AU~ NO <br /> NO OF BEDROOMS <br /> <br /> ALBE~ CRESt ADDITION <br /> <br />CATEGORY <br /> RESiOEN f iAI,. <br /> <br /> PHONE ~ 6/8-5420 <br /> <br />t CT B~ OCK SECTION TOWNSHIP <br /> <br />WIDTH DEPTN AR~A UNITS <br /> <br />fYP~; ON-~ifE SEWAGE <br /> <br />PERMI~ OR APPLiCAfION NO: <br /> <br />CON f RAC fOR, NO. <br />,~LI~E ~ , JiM <br /> <br />PAYEE: ALBER'S~ JiM <br /> <br />9029266 <br /> <br />WATER SUPPLY: <br />TESf HC)t. E5 READY= <br />Sire F:VALUAriON NUMBER: <br /> <br />~tS'fiNG D~1N FZELB LiN~5~ <br />~EPTiC TANK PU~PED: <br />PREVI~S NO. <br /> <br />'TOTAL A55E.'5~ED FEES <br />PRE¥IOU~ RECEiPf'S <br />THiS RECEiP'I <br /> <br />AMOUNT <br /> <br />$1 ~0-00 <br /> <br />$110,00 <br /> <br />BALANCE DUE $0.00 <br /> <br />iNVOICE NO= 309~g <br /> <br /> RgCEtVED BY: CL fYPE: IN CHECK ~: 0 <br /> <br /> 5gE AT [ACHED DOCUM~'Nf' FOR R~UIR~T~ OF ~-szrg ~ENAGE 8YS'IgM. <br /> <br />~ THiS IS NOI A PE~iT. THIS APPLiCATI~ ~ST ~ TH~ A R~iEW P~ ~ERE THE <br />FOLL~iNG ~[ BE ~PLETED. IT I~ THE R~IBILiTY OF THE APPLI~NT 10 ~RE THA~ <br />ALL N~C~RY INFO~Ti~ H~ BE~ P~VIDEO. <br /> <br />PLAN REViEN: <br /> <br />CiTY JURISOICflON: BY DAlE <br /> <br />OFFICE COPY <br /> <br /> <br />