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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:: 588-7904 <br /> <br />I hB~R read ~nd agree to the terlT1S StatOd on the reverse side of <br />this docucfl(!rt~ <br /> <br />08/2.3/91 I ,IME; 12--48;56 <br /> <br />HOSF f E fER, BURL <br /> <br />TA~ LOT CATEGORY <br /> <br />RbSi DF..N l J, AL <br /> <br /> 5832 VILLAGE V~ CT' <br />AU~ViLLE, OR <br /> <br />CONTRACT CITY USS OCCUPANT LOAD <br />f~ARION COtJNIY NO NO o~ <br /> <br />PARIYKA, SIANLEY : RENIOR <br />SANE <br /> <br />LOT BLOCK SECTION <br /> <br />WIBTll DEPTH <br /> 192 565 <br /> <br /> 18 <br />AREA <br /> <br /> 108480. <br /> <br /> SITE NUNtDERt 13908 <br /> VALUAFiON: <br />TOWNSHIP RANGE ZONE MAp <br /> <br /> 8S 1W AR3 48 <br />U NI'T'S IRREG LOT CORNER <br /> <br /> SP NO NO <br /> <br />T'YPE: 0N~i'T'E SEWAGE <br /> <br />PERIVlII OR APPLICAIION NO: 9034567 <br /> <br />CON I'RAC IOR, NO. <br />HOSt rEfER, BURL <br />PAR1YKA, SlANLEY : RENIOR <br /> <br />PHONb; 588-?'722 <br /> <br />WAI~R SUPPLY: PW <br />HOLES <br />BYALUAIlON NUI',~ER: <br />D(ISFING F~K ~Izg: 1000 <br />~iSIiNG D~iN DIELD LINES: <br />~EPfiC 'I~K ~NPED: 8-21~91 <br />PREVi~S NO. <br /> <br />AUTHORiZATiON NOT'iCg - FLD. VISIT <br /> <br /> TOTAL ~gR'Z~ED FEES <br />  / PRE¥1OUS RECEIPTS <br /> / SALANC~ F. XJE <br /> <br />PAYEE: PARrYKA, <br />RECEIVED BY: CL <br /> <br />AMOUNT <br /> $105.00 <br /> <br />$105,00 <br /> $0.oo <br />$1o5.oo <br /> <br />RECEIP¥ NO: 36548 <br />]YPE; CK CHECK ~; 1516 <br /> <br /> SEE AI~'ACHED DOCUMENI FOR REQUIRP-3M~FN'fS <br /> <br />:~ THI~ 1,.% NOT A PER,lIT. THIS APPLICATION f41.JST GO THROUGH A REVIEN PROCESS iAHERE rile <br />POLLONINEi FEIST BE COIWPLETED. IT I~ THE RE:SPON$1BiLITY OF THE APPLIC/~T TO ~RE THAT <br />ALL NECE~ARY INFORI~tATION HA..~ BEEN PROVIDED. <br /> <br />PLAN REVIEW: BY <br /> <br />DATE ................... <br /> <br />REr4ARK~: AUTH R~8779 ~ <br /> <br />CITY JURISDICTION: BY DATE <br /> <br />REV 4/90 OF FIC E COPY <br /> <br /> <br />