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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM:, OREGON 9'7301 <br /> <br /> PHONE: 5B$-5147 8400 <br /> 24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />' 8rn Oorf°rming work O" a pr°pert' I °wn °f °c¢u¢' <br /> <br />DATE.: 05/29/91 <br /> ~ARI iN,. <br /> <br /> 9547 S[AYfON RD 5E CONTRACT CITY tJa~ <br />AUIV~oV l LLE OR ,97~25 <br /> I~ARiON COUN ]Y NO <br /> <br />OCCUPANf LOAD <br /> <br />MAILING AODRES$ SUDDI¥1$ION <br /> <br />PHONE: ?'59-3 f22 Si 1 8- NUMME, R: '~ 3108 <br /> VALUA r i ON; <br /> <br /> 9, AC NO NO <br /> <br />MAP <br /> <br /> TYPE ~ ON-31 ¥ b 5~WAGE WATER SUPPLY: PW <br /> fESf HOLES R~DY: <br /> P(:R~I~ OR APPLICAIION NO: 9032545 ~ilE EVALUA~ NUMBER: <br /> ~iSf~N(¢ rANK SIZE: <br /> CONf~CIOR, NO, EXiSfiNG ORA~N FieLD LIN~5: <br /> MARliN, RODERf S~PflC rANK PU~P~D: <br /> 5AFI~ PREVIOUS NO. <br /> <br />PHONE: '/69.-~'/22 , ~/ <br />........ ...................... ............................... U; 777 .......... <br /> REPAIR- ~JOR ~ 1 $80.0(:; <br /> <br /> fHl~ R~CE/Pf $0,00 <br /> <br /> 8ALANC~ ~E $0 , <br /> <br /> PAYEE: ~ Rb(gEI P f NO: <br /> Rt~.~,IVKD BY: P~ YP~: CHECK ~ <br /> <br />~ THIS 15 NOT A PE~iT. THIS APPLIOATI~ ~ST ~ TH~ A R~JSN P~ ~ERE THE <br />rOLL. lNG ~57 BE ~PLE'fED. iT ~8 THE R~SiBILITY OF THE APPLI~T TO eRE fMA~ <br />ALL NEC~ INFO~TI~ H~ BE~ <br /> <br />PCAN REViP_.W: ElY <br /> <br />~ ~4ARK~ b~PltC REPAIR R~5506 <br /> <br />(Jify JURiSOICIiON: BY DA~E <br /> <br />OFFICE COPY <br /> <br /> <br />