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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM: OF~EGON 97301 <br /> <br /> PHONE:: 588-5147 8:00 - 4;30 <br />24. HOUR CODE-A-PHONE:: 588-7904 <br /> <br />Other_ <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br />OWN~ I E: 09/'13/91 f ilVlE: <br /> L EAGJ EL.D, RAY¢(JN D <br /> <br />9;58:52 <br /> <br />'I~U LA)'iECRESI DR <br /> <br /> TAX LOT <br /> <br /> 90250-010 <br /> <br />D~ ¥'~.~i T NO <br /> <br /> 5W 51:YMOUR DR <br /> LAND OR 9 ? ?g 1 <br />PHONP. 244-60?'? <br /> <br />PA'/~ ON i <br /> <br /> 5tlg NUMBER: la 1L}8 <br /> VALUA f ION: <br /> <br /> 02 1 0 5g RG <br />i 'tO: 1530(} ,, 5F NO NC) <br /> <br />CATEGORY <br /> RL3iDLN I I/~L <br />OCCUPANCY <br /> <br />O~CU PANT LOAD <br /> <br /> NO OF BED~O0~4S <br /> <br /> 2 <br /> <br />MAP <br /> <br />IYP~: UN-b,~fE 5EMAGE <br /> <br />PE/<Mi I (.)t4 APRLICAi ION NO: 9035132 <br /> <br />CON F R/il:_' f OR, NfJ. <br />LEAGJbl O, I',~AYMON O <br />~4,J~ '?~, 5EYMOUR OR <br /> <br />PHONE: ;¢44~ b08't <br /> <br />WAFER SUPPLY: <br />TEST HOLES RE/IDY; <br />~1 Th. gYALUAIION NU~ER~ <br />EXiSTiNG T~INK 5L£~: <br />EXISTING DRAIN PIELO <br />5BPIiC TANK PUMPgD: N/A <br />PREY I OUS NO. <br /> <br />L l ~-Jvl (.~UAN l [ l Y A.MOUN f <br /> <br />,~IIfH(.)RIZ,~,fION NOflC~ ,~ FLL). VlSi~, <br /> <br />$110, O0 <br /> <br /> TOIAL A~E~EB ?EE5 $~10,00 <br /> PRE¥1OU$ RECEIPTS <br /> 1HIS RECEiP1 $110 O0 <br /> <br /> BALANCE DUE <br /> <br /> PAY~b: L~AGJELU, F4AYM,©ND ~ INVO[C~ NO: <br /> <br /> SEE AIIACHED ~UMbNf POR REQUIRgMENf5 OF ON-8IIE 5~NASE <br /> <br />* THIS i5 NOT A PEtiT. THiS APPLi~TI~ ~ST ~ TH~ A R~I~ P~ ~ERE <br />FOLDING ~SI BI ~PLETED. iT iS THE R~SiBILiTY OF THE APPLI~T TO ~RE THAT <br />ALL NEC~ARY iNFO~TI~ H~E~ P~VlOED. <br /> <br />.... fZ¢~,~ ..... CiTY JLJRiSOiC~'r]ON: ~Y <br /> <br />Fo.~ ,~ ~c ~s,,s~ ~ ,~/~0 OFFICE COPY <br /> <br /> <br />