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MARION COUNTY BUILDING INSPECTION <br />SENATOR BI. DG NO 225 <br />220 HIGH ~g~TREET NE <br /> SALEM, OgEGOi'~' ~7301 <br /> <br /> PHONE: 588-5147 8;00 - 4:30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />L)AfE; 05/28191 TIME: 10=02::37 <br /> ~:,1_ L, I" DIAIA R O <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br /> TAX LOT <br /> <br /> CONSTRUCTION TYPE <br /> <br /> 9433 PORfER ROAD SE <br />AtJN'C~V 1LL b: OR 97'325 <br /> <br /> CONTRACT CITY <br /> <br />MAR f ON COUN 1Y <br /> <br /> RHONP,; 'f49~ 1~12 <br /> <br />LOT BLOCK SECTION TOWNSHIP <br />1 <br /> <br />UGB <br /> <br />CATEGORY <br /> Rf"'S I. DLN 1 i,~L <br /> <br />OCCUPANCY <br /> <br /> SiIE NU~ER: <br /> VALUA I iON: <br /> <br />95. 2N <br />~,C ISREG LOT NO <br /> <br />NO <br /> <br />OCCUPANT LOAD <br /> <br /> 4 <br /> <br /> EFU b 1 <br />COR"E~o <br /> <br />N~lbR 5LIPPLY; PW <br />FE~f HOLES READY: <br />SiIE EVALUAIION NUMBER: <br />EXiSfJNG lANK S~Z~: <br />~X~IING DRAIN PIELD LINES: <br />~EPfZC lANK f~LtMPED: <br />PR~V~OU~ NO, B~DROOM~: <br /> <br /> ITEM QUAN/iIY AIvlOUN~ <br />ALIERAfiON ] <br /> <br />PRE¥IOUS RECEIPTS <br />TH15 RECEIP1 <br /> <br />$145.0U <br /> $o_oo <br /> <br /> RECEIVED BYt D~2 __'~/~,~ FYPE: CK CHECK ~: 245 <br /> <br /> SEE Ar fAC~ED DOC~gNf FOR REQUIRE~EN'r8 OF ~-sIrE <br /> <br /> THIS IS NOT A PE~iT. THIS APPLI~Ti~ ~T ~ TH~ A R~[~ P~ ~ERE THB <br />FOLDING ~ST ~E ~PLETED. IT J~ THE R~IBiLITY OF THE APPLIC~T TO ~RE THAT <br />ALL NEC~ iNFO~TI~ H~BE~ P~VlDED. <br /> <br />fG~, ~ ~ ~-,~ ~ev ~?~o OFFICE COPY <br /> <br /> <br />