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. MARION COUNTY BUILDING INSPECTION <br />',' SENATOR BLDG NO 225 <br /> 2~0 HiGH STREET NE <br /> SALEM: O.EGON 97301 <br /> <br /> PHONE 588-5147 800 - 430 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />OWNER <br /> OA'IE,' 11/19/90 rf~qE.· 12:20:14 <br />S~TU$ *~B~£s~,tOM~N, DORIS <br /> <br /> 9~,84 6OLF CLUB RD <br />g s ~:~'ISA,'Lt~L~. OR <br /> <br /> TAX LOT CATEGORY <br /> CONSTRUCTION TYPE OCCUPANCY RI~i DEN I 1AL <br /> <br />I~AR f ON C'f,)UN 'i Y NO <br /> <br />2 <br /> <br />SECTION <br />AREA <br /> <br />UNITS <br /> <br />AC NO NO <br /> <br />IYP~: ON-SIIE ~EW~E <br /> <br />PERMII OR APPLICAflON NO: <br /> <br />CON f'RAC'TOR. NO, <br />[HO~ON, ~RI5 <br /> <br />PH~E: 378-6563 <br /> <br />WAFER EAJPPLY.+ fad <br />If~T HOL~ REAOY: <br />~ifE EVALUATION NUMBER: <br />P~XIS'fING lANK SIZE: <br />EXI~FiNG D~IN PIELD LiNE~: <br />8EP'llc ~K ~MPED: <br />P~EVI~S NO, B~DR~S: <br /> <br /> $55.00 <br /> ~.~/ TH,~ RECE, PT <br /> <br /> 8A~NCE DU~ <br /> <br /> PAYEE: fH~N, ~RI~ R~CEiPF NO: 80431 <br /> <br />· TH[~ IS NOT A PE~iT. TH[~ APPL[~T[~ ~ST ~ TH~ A RE~[~ ~ ~E~ THE <br />FOLL~iN6 ~T ~E ~PLETEO, IT iS THE R~SiBiLiTY OF THE APPLiCANt TO ~RE THAT <br />ALL N~RY [NFO~T[~ H~ <br /> <br />Rf-'MARK~: lANK REPLACEMENI R:~433b <br /> <br />CITY JURiSDiCIION: ~Y DAlE <br /> <br />Fo~, ~c ~-~¢.EV ~/~o OFFICE COPY <br /> <br /> <br />