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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG. NO, <br /> 220 HIGH ,STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588:'5147 <br />CODE-A-PHONE 4:30 P-M. ~ 8:00 A,M, <br /> <br />I &tn a cegistered budder OR { ) the authorized <br /> <br />OR <br /> <br />SIGNATURE OF APPLICANT; ..... <br /> <br />DATE~ .......................... <br /> <br />GONSTRUCTION TYP~: <br /> <br />NE <br /> <br /> ~¢,,R;[ON COUNTY ~ NO <br /> <br />8LOCK; <br /> <br /> ~8 ~ 45 IN EFU C <br /> <br />_. ~*~ ~, ¥~.~ , ,~:',~,: :,..~, ~ ~, ,'iF,',",', " ' ~ _ ' ..... <br /> <br /> "'~:~>;¢~'~:: .... ~f~,~"~ ......... ~ ~IST~NG TANK SIZE; <br /> <br />v-~N, HA.,.,., O~, <br />BR:GH~ . J Ar~u,.D <br /> <br />PHONE: 878-i519 <br /> <br />~ EX[STUN60RA~N' ' F~ELD L=NE~; <br />! S~PTZC T~.NK PUMPED= <br />, PREV;~JS NO. ~EDRCOT4~: <br /> <br /> RECEIPTS <br />RECEIPT <br /> <br />$35_00 <br />S35.~.~ <br /> :~C_ CO <br /> <br />BALANCE 0UE '~" ~^ <br /> <br /> ~NVOIGE NO: <br /> CHECK ~: <br /> <br />SYST[N. <br /> <br /> ITS I,~3[JE DATE. <br /> <br />IF <br /> <br />~DfcCJ~IC~ C~DUNI~¢ E~JILOING ~¢40 <br /> <br /> ATTACHED DO~JJMENT FOR <br /> <br /> ,'F~IS IS A VALID PERf4IT ~ TH] <br />CEt43TRL~CTICN FA[L~ TO ~ ALL <br />Z~ING ORDIN~C~. ~S P~I] <br /> <br /> <br />