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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5i 47 8:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />DATE: 01/22,/91 'FI~IE+* 12:28t3~ <br /> <br />SIGNATURE OF APPLICANT <br /> <br /> DATE <br /> <br />SUBDIVISION <br /> <br />NO <br /> <br /> VALUA F I ON <br /> <br />SECTION TOWNSHIP RANGE <br /> 24 ~.S <br /> <br />CATEGORY <br /> <br /> OCCUPANCY <br /> <br /> OCCUPANT LOAD <br /> <br />3 <br /> <br /> 12138 <br /> <br /> 6FU <br /> <br />NO <br /> <br />TYPE: ~-SI1E ~,E1NAGE <br /> <br />PEril' OR APPLiCAIlON NO," 9029915 <br /> <br />CON ['RAC fOR, NO. <br />Wl LLiAt~50N , ROeER r <br />19527 CA~E RD NE <br />AURORA <br />/.-14ON E: 678-558B <br /> <br />S~ < 6 MON1HS OLD <br />Si ~ E'VALUAI iON, FiR~¥ LOf <br /> <br />PREV i r.~S RECE. t PT~ <br />THiS RECEIPT <br /> <br />BAL.N'4CE L~E <br /> <br />PAYEE*. WlLLiA~FC:~N. R~tER'r <br /> <br />~UAN r ! r ¥ AMC~JN f <br />1 $tlO+0O <br />1 <br /> <br />$285.08 <br />$285.00 <br /> <br />RECEIPI NO: 31619 <br /> <br />RECEIVED BY: CL tYPE: CK CHECK ~: 1689 <br /> <br />SEE ArFAf.~EO OOOSIviENT FOR RF.r.~IUfREf~6'NTS OF ON-SiTE SE~HA~E SYf:ST~. <br /> <br />NOTE: THI~ DOES N~T~GRANT OR IMPLY PER~I~.~ION TO BUILD ON THI~ PARCEL+ PLANNING AND <br /> <br />FO/:IM I~ MC t5-5e R~V 4j~b OFFICE COPY <br /> <br /> <br />