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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 - 430 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />Other_ <br /> <br />SIGNATURE OF APPLICANf <br /> DATE <br /> <br />SHARABAR`(N, ANA~ l AS <br /> <br />TYPE <br /> <br /> 19496 GRit,1 ROAD <br />~JRORA <br /> <br />',JR <br /> <br /> CONTRACT CtTY <br /> <br />f/tAR,tON COUNTY , <br /> <br />UGB <br /> <br />NO¸ <br /> <br /> RESIDEN f IAL <br />OCCUPANOY <br /> <br /> PHONI~: 845~2255 <br /> <br />LOT BLGCF <br /> <br />511E NU~ER: 12883 <br />VALUAT ,(ON: <br /> <br /> NO NO <br /> <br />MAP <br /> <br />TYPC: EL~CfR[CAg <br /> <br />CgN1RACTOR, NO. <br /> NO; <br />SHARABARIN, ANA~IA~ <br /> <br />PERffli[ OR APPL`(CA'r~ON NO: 31979 <br /> <br /> ~UPERVISJN6 ELEC1RICI/~/NUMB~R <br /> <br />845-2255 <br /> <br />PUMP OR iRR~GAfiON C`(RCLE <br />ELEC1RICAL 8TALE $~JRCHARGE <br /> <br />PAYEE: FC4AP. J~I~ARiN, <br /> <br />1 <br /> <br />'FOTALAS~EO FEES <br />PREVXOUs RECEIPTS <br />'rHt$ RECEIPT <br /> <br />At.DUN1 <br /> $36.00 <br /> $1.80 <br /> <br />RECEIPT NO: <br />CHECK <br /> <br />$37.80 <br /> <br />$37.8O <br /> <br /> 33750 <br /> RECgIVED BY: Dffl2 ]YPE; CA 0 <br /> <br />* TH~.~ IS A VALIO P~Aq~IIT * THIS ~T ~I~ 180 ~ F~ ITS I~E ~TE. IF <br />~ST~OTI~ C~B ~R A ~IOD OF 180 ~, OR IF ~T~TI~ FAI~ TO ~ET ALL <br />~IR~TS OF STATE ~ ~O ~RX~ ~ ~ILDING ~D Z~J~ O~IN~C~, THIS PE~IT <br />~ALL B~ ~L~ ~D ~XO+ <br /> <br />RBVARKS: [RRiGATION PU~P ONLY R~7553 <br /> <br />DONALD E. NOODLE~, t, IAR`(ON COJN"rY BUiLD[NC OFFiCXAL / BY <br /> <br />FORM # MC 15-56 REV 4~ OFFICE COPY <br /> <br /> <br />