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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-PRONE: 588-7904 ~ E <br /> am perfo ming Work on ~ property [ Ow~ Or ~ccupy. .. <br /> <br />The work wilt De ~er ~rmed by ~ reg s eCed buitder. <br />Other ..... <br /> <br /> ~UHSVILLE OR 9/,~,,~, MARION COUNTY NO <br /> <br /> _ <br /> <br /> SAL_E~ OR 97~Z ' S~TE HU~ER: <br /> ~ HONL. 36,,,-487:~ ' VAI:U'AT'ION~ <br /> <br /> . ........ <br /> <br /> ' -- : ' I ~A~ER--. .......... - ~,, <br /> " FE~l HOLES READY. ye~ <br /> PERH~T DR APPLICaTiON NO: ~45972 SZTE EVALUATION NUHBER~I~ ~¢.--- <br /> EXISTIN[, TANK ,~IZE. <br /> [,O~kAC[DR~ HO. EX]:STII,If; ~EAIN FIEL~ L~NES,, <br /> i_,~N60, lEO SEF'I'~C TANK f:'UHPE~: <br /> 2,3~¢ MARKET ST NE I:'REV:[OIJS NO,. BEDROOMS: <br /> SAt. EH O~ 97~1. <br /> PHONE: 362-487~ <br />...................................................... ....... : ................................................................................................. <br /> Il'EH -- --~'J~,~ QUANTITY AMOLJ~Ir <br /> <br /> TOTAL ASSESSE~ FEES <br /> R~;CEIF rS <br /> THIS RECEIPT s265,, <br /> <br /> BALANCE DUE <br /> <br /> PAYEE: I. IN60~ TED Rl.,CblF l" :' '"'" ' ' NO: 48'J. 75 <br /> RECr. IVED BY: c12 ................... j..:... ........... ;,z ..... ,..__ ...... ~ ............ TYPE: ca CHECk ~: <br /> <br /> SEE ATTACHED DOCUNENT FOR REQUIREMENTS OF ' <br /> ON-SITE SEWAge: SYSTEN,, <br /> <br /> fl,.I,[;. DOES NOT GRANT OR IMPLY PERH:[SSZON' TO, BuZL90l'.[ THIS PAfU;EL. FLANN..i% AND <br />ONSTRUC'FION F'..~.R~'Z~ ~LSF ~'E DB'/'A]'NED BEFORE BUZL. t)ING OR SL~F ~1C I,%/AIJ...ATICH b .G.i. , . <br /> <br /> PLAN REV:rFJW: FJY... D~TE.:~: . ....... (~ZT~ JURIStiC TJ. ON,, [[Y. ................................................. gATE <br /> <br /> ;;~TE EV~LUAT:(ON & F~.R~ZT TO ZNST~LL <br /> <br />mrs* Mc ~.~ .~v.,~ OFFICE COPY <br /> <br /> <br />