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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: 58,8-5147 8;00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />owN~,rE: 08/02/9t TIME: t2:35:26 :: TAX LOT: iCAYEGORY: <br /> Of W HOMES INC <br /> <br />RE~iDENIiAL <br /> <br /> i 't~N~CT ~iTY; UGB: : OOCUPANT LOAD: <br />14-'106 AL8ER~ WAY <br />AU~RA OR 9?002 <br />USE OF 8UILOING~ ................. 'AU~RA ............. NO <br /> <br />24?'55 ,~ 65'f'H <br />1'UALA'T' I N 9?'062 <br />PHONE: <br /> <br />LO'F: BLOCKz <br /> <br />....... AbBS~ CR~I: <br /> <br /> ~I f'F NUMBER -* 1 L~ ?' 12 <br />..... i VALUATION: ..... <br /> <br /> 48 <br /> <br />f'YPE_' ON-~5it'E ~EW, ,GE <br /> <br />PERMi F OR APPLICATION NO: <br /> <br />fJON 1' P, AC'f'OF~, NO, <br />f_'}'T'l~ HOI~ES [NC <br />24-755 SW 651H <br />f UALA f'.IN 9?062 <br />PHONE: <br /> <br />WA'I'~R r;~AJPPLY; ON <br />TEST HOL~S READY: <br />SiTE EYALUA'f'iON NUr',~ER= ALSEA'~ ORE~r <br />EXi~'FiNG f'ANK ~IZ¢: <br />EXISTING ORAiN FIELD LINES~ <br />5EP'T'JC TANK PU~P~O: <br />PREViCAJS NO. 8~OROOfv~ <br /> <br /> .I I'EM QUAN'I't f'Y ANIOUN 1 <br /> STANDARD ON-Si TE SY~'f'D'4 ] $185.0o <br /> <br /> TOTAL ~E~E,B P'~ES $1 ~5 _ 00 <br /> PREV l~S RECEiP'~'S $0. OU <br /> THiS 'RECEI P'f $185, OD <br /> <br /> 8A~NCE ~E $0.00 <br /> <br /> PAYEE: D'fW HO~E~ iNC iNVOiCE NO: 3806? <br /> RECE[VEO BY: c'l '; '[YP~ IN CHECK ~: 0 <br /> <br /> ~E'E Al ~ACHED ~U~EN'f' FOR RE~R~S:OF ,0N:~1 FE S~NAGE SYDTEN. <br />* THI~ i~ NOT A PE~IT. THI~ APPCi~TI~:,~T ~ TH~ A R~I~ P~ ~ERE THE <br />~LL~NG ~S~ BE ~PLETED. iT ~S THE R~SJBiL~TY OF THE APPLJ~T TO ~RE THA~ <br />ALL NEC~ iN~TI~ H~ BE~ P~IOED. <br /> <br />!kEIVlARF,~: 5EPI'IC <br /> <br />CiTY JURiSO~fION: BY ............................. <br /> <br />OAf'E <br /> <br />~o~* ~c ~.~e ~v. ,~ OFFICE COPY <br /> <br /> <br />