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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 / ,w~ thisd°cumeat' <br />V OwN~TE: 12/03/91 <br /> <br /> NENELL~E];ER 70480~0~0 R~ DEN'I' IAL <br /> ~tTUS AOORESS'. CONSTRUCTION TYPE; OCcuPAncY: <br /> <br /> ' CONTRACT C{TY; ~ UGB'. OCCUPANT LOAD: <br /> 8855 JEANNE CT ~E <br />: AU~VI LLE OR 97325 <br />USE OF BUILDING; :NARI'ON' COUNTY NO N0 OF B60~oo~s: <br /> <br /> ........ C~ADE "PARK 'NO 2 <br />4?55 HO~EE~OE CT <br />SALEM, OR 97301 378-3945 ~3RK <br />PHONE: 363-?343 SiTE NU~ER: 15031 <br /> <br /> ~ ! 5. O3 AC NO NO <br /> <br />'rYPE: ON-SITE SEa, AGE <br /> <br />PEI*~4IT OR APPLICA'FIC~ NO: 9037164 <br /> <br />~T~C'rOR. NO. <br />NEHELL PETER <br />4766 HO~E~'.'~-IOE CT <br />SALET4, OR 97301 378-3945 WORK <br />PHONE: 363-7343 <br /> <br />WATER ~UPPLY~ PW <br />TEST HOLE~ REAOY= YE~5 <br />sz'rE EYALUATJON NU~ER: 1-74-21 <br />E~[~TJNG T.N'4K SIZE: <br />EXI$'FING D~[N FIELD <br /> <br />PR~V~S NO~ <br /> <br /> PAYEE: NEWELL PETER RECEIPT NO: 39123 <br /> RECEIVED BY; ¢48 ............................................................................ TYPE: CK CHECK ~t; 614 <br /> <br /> SEE ATTACHED OOr.;UMrrTN'F FOR R~R~'rs OF ~-$i'rE SEWAGE s~'r~. <br /> <br />z THIS IS NOT A PE~IT. THISA~LI~TI~ ~ST ~ TH~ A R~i~ P~ ~ERE THE <br />~LL~LNG ~ST BE ~L~ED. iT IS THE R~SIBILiTY OF THE AP~I~T TO ~ THAT <br />ALL N~ [NF~TI~ H~ BE~ P~VIDED. <br /> <br />CITY JURiSDiCTiON: BY ....................... <br /> <br />DATE <br /> <br /> OFFICE COPY <br />FORM # MC 15-56 REV. 4/90 <br /> <br /> <br />