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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 - 4::30 <br />24 HOUR CODE-A-PHONE', ~88-7904 <br /> <br />I am performing work on 8 property I own or occupy <br /> <br />OAfE~ 89/19/91 lIME: 10:59:48 <br /> <br /> LEAGJ BLD, RAYr4OND <br /> <br /> 120 LAKECRESf DR <br />DEl'ROil OR 9?342 <br /> <br />USE OF BUILDING <br /> <br /> 2437 ~,W SEYMC'~R OR <br /> ~RI LAND OR 9?201 <br /> <br />SIGNATURE OF APPLICANT <br /> <br /> TAX LOT 90250--010 <br /> CONSTRUCTION TYPE <br /> <br />OON'C~ECT CITY UGS <br />DEl ROIl' NO <br /> <br />PAl ION i <br /> <br />2 I 02 10 <br /> <br /> VALUA f ION: <br /> <br />RANGE ZONE <br /> 5E <br /> <br /> NO <br /> <br />I CATEGORY RES1 DENt iAL <br />OCCUPANCY <br /> <br /> OCCUPANT LOAD <br /> <br /> NO 0¢ ~ED~OOMS <br /> <br />PERMi I OR APPLICATION NO: 9035132 <br /> <br />CON I RAC. I OR, NO, <br />L~GJELD, RAYIV~N O <br />24,37 SN SE'YI'4OUN DR <br />POR1LAND OR 97201 <br />PHONE: 2~.4-6087 <br /> <br />WATER ~JPPLY: CtN <br />1'E'51 HOLES RP.f. ADY: <br />· S];I'E EVALUArION NU~ER: <br />~iSTIN6 ~K SIZE: lOOO <br />~iSTiNG D~IN FieLD <br />S~PTiC [~K ~P~D: N/A <br /> <br />ALIERArION <br />AUfHORIZATiON NOTICE - NO Vl~ll <br /> <br />PAYEE: LEAfA, IELD, RAYI'4ONO <br /> <br /> QUANII1Y ~OUNI <br /> 1 $150.00 <br /> 1 $65.00 <br /> <br />TO'FAb ~C-gS~O F~ES $2~5.oo <br />PR~VIOLIS RECEiPT¢ $110.00 <br />THiS RECEIPT $~05.00 <br /> <br /> $o.oo <br /> <br /> INVOICE NO: 37170 <br /> <br />BALANCE C'(JE <br /> <br /> ~tECfsiV'gD t~y: CL ................................................... 'IYPE: iN CHECK ~t: 0 <br /> <br /> THIS ~8 NOT A ~IT+ ~IS ~PLI~TI~ ~T ~ ~ A ~I~ P~ ~ THE <br />FO~i~ ~ BE ~ED. [T I5 THE R~I~ILI~ ~ TH~ A~PL[~T TO ~RE ~HAT <br /> <br />PLAN REVIEN: BY~ .~¢~___~'~' /'// OAI~ .....?,~_~/~-L~_~__ CIIY JURISDICtiON_- BY ........... <br />RI-I~IARKS: ~-'XiSI1NG SEPflC, N~'VER HOOKEO UP fo OR LI~ED/ AUlH ~< ALfR <br /> <br />DAIE <br /> <br />FO~ ~ ~C ~-,~ 'Er 4mO OFFICE COPY <br /> <br /> <br />