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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG NO,, 225 <br /> ";"20 HIGH STREIgT NE <br /> SALEM, OREGON 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 />SNOOOERLY, f ,[IvIOfHY <br /> <br /> 15081 PARK AVE <br /> AURORA <br /> <br />USE OF BUILDING <br /> <br /> NE CONTRACT CITY <br />OR 97002 <br /> <br />151Jbl PARK AVE <br />AU f:~RA, OR <br />PI'ION E: 5/8-2285 <br /> <br />LOT BLOCK <br /> <br />212 <br /> <br />294,68. ~F <br /> <br />S.Ff' E NUr4BER; <br /> VALUA ~ tON: <br /> <br /> Nc NO <br /> <br />!.¢UNMI t OR AHPLtCAI iON <br /> <br />~ONf['4ACIOR, NO. <br />~¢,4(AJDERLY, FItVOIHY <br />15051 RARK AVE <br />AURORA, OR <br />!*HONE: 6/8-2285 <br /> <br />9035020 <br /> <br />WAIER ~PPLY: CH <br /> HOLES READY: <br />5IrE EVALUAtiON <br />F..>(iSTiNG f'AN~ <br />P_X~5]ING DRAIN F~ELP LINES: <br />~EPT[C rANK PU~PED: <br />PREVIOUS NO. BEOr~: <br /> <br /> iFEM ,.,,. (,~ANTiI'Y AFiOUNf <br />51~b EVALUATION, ~A. ADDL. LOf (~ <br /> $1~8.U0 <br /> <br /> TOTAL ~EO FEES <br /> PREV[OU5 RSOEiPT5 <br /> THiS RECEIPT $'~4'~ <br /> ~/ BA~CE ~ $0_00 <br />PAYEE: ~(~DERLY, fi~fHY ~NVOtCE NO, 389~8 <br />RECEIVED BY: cl TYPE: IN CH~CK <br /> <br />ACH gL) 130L,'UMPN 1 FOR REQU i RIsJVlEN fS OF, ON-SI IE SEWAGE. SYSI ~M_ <br /> <br />NOTE: flits 00~ NOT,%G~ANT OR Iffy PERM'iSSION TO SUiLD ON THIS PARCEL. PLANNING ..AND <br />CONSTRUCTION PERM! Tf/TS_~f ,E 08TA/NEO 8EF-O~E BU~,LDiN6 OR SE~T 1C INSTAL[AT,ON BEGINS. <br /> <br /> <br />