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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 />03/08/91 rI~4E= 8:31:24 <br /> <br />OWNE~ HAl P l ELL), ~1 EYEN <br /> <br />TAX LOT <br /> <br />CATEGORY RE~i DENI IAL <br /> <br />7932 FERRANOE L.N~E <br /> <br />2269 SALEM DALLAS H,WY <br />SALE. M OR 97304 <br />PHON',',Y.,: 3~2-6335 <br /> <br />OR 97392 <br /> <br />CONSTRUCTION TYPE <br /> <br />CONTRACT CITY UGB <br />l',t~R i ON COUNTY NO <br /> <br />SITE NUt, IBER: <br /> VALUATION: <br /> <br />OCCUPANCY <br /> <br />OCCUPANT LOA~ <br /> <br /> N0 OF 8E0~00M$ <br /> <br />I Off BLOCK SECTION <br />~'IL:'I. 82 DEPTH 230 AREA 18860+ <br /> <br />UNITS SF IRREG LOT NO ' CORNE~O <br /> <br />bl <br /> <br />PERt,ti'I OR APPLICA'fiON NO: 9030803 <br /> <br />OE~TRACTOR, NO. <br />HA'rFiELO, 8fEYF. N <br />2269 SALEM DALLA~SHtC¢ <br />SALFJ~I OR 9?304 <br />PHONE: 362-6335 <br /> <br />HATER,~JPPLY~ ~ <br />T~T HOLE,~ READY~ <br />$11'E EVALUATION NUtCCJER: <br />E~<I$'fING TANK SIZE: <br />P.X/STING DRAIN F/ELD <br />SEP'r[c rANK PUMPED: <br />PREVIOUS NO. BEDR(XJMS: <br /> <br /> 1 'rEM <br />REPAIR ~ MINOR <br /> <br />(~JANT iTY <br /> 1 <br /> <br />TOTAL AE~ED FEE,~ <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$55. o0 <br /> <br />$55.00 <br /> $0.00 <br /> <br />BALANCE EXJE $55.00 <br /> <br />PAYEE: ^,~ <br />REC~c[VED BY: PB .................................................. ~/~) TYPEt <br /> <br />SEE ATTAC~£O DCX2Ub~T FOR REQUiREIVlE. NTS OF ON-~II"E SEWASE SYSTE~I. <br /> <br />RECEIP f NO: <br />CHECK ~: 0 <br /> <br /> * THIS I~ NOT A ~IT. THIS APPLICATION I~IU~T ~O THROUE~I A REVIE~ I:~ ~FR~ THE <br />FOLLOi~IN~ MU~T iBE COD1PL~TED. IT I.~ THE REE~OONSII~ILITY OF THE APPLICANT TO ~RE THAT <br />ALL NE~G'IB~;;~RY IN~TiON ~ BEEN PROVIDED. <br /> <br />PLAN RE.¥iEW: BY <br /> <br />REblARKS: MINOR REPAIR <br /> <br />CiTY JURiSDiCTioN: BY ............ <br /> <br />FORM ~¢ MC 15-56 I~EV 4m0 OFFICE COPY <br /> <br /> <br />