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MAR~ON COUNTY BUILDING INSPECTION <br />SI:NATOR EtLDG. 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: 588-790,4 <br /> <br />0AYE: 12/21/90 <br /> <br /> COAKLEY. RODNE¥ ~ rflARIA <br /> <br />,' SITUS ADORESS; <br /> <br /> 5?85 SHAW HWY SE <br />AUI'4~VI LLE OR 97325 <br /> <br />OATE: <br /> <br />· Y,~X LOT; ......... <br /> <br />CONSTRUCTION <br /> <br />PHONE: 531-1872 <br /> <br />PHONE: 581-1872 <br /> <br />$I1'E NURSER; 3193 VALUA'F ,[ ~: <br /> <br />B$ <br /> <br />i lW AR <br /> <br /> htAT ER EgJPPLY *. <br /> TEST HOLIE~ REAOY; <br /> :~iTE EVALUATION NUfV~ER: <br />) EXI~iT ING TANI~ <br /> EXISTING DRAIN F,/,EL0 LINE~: <br /> TANK PUMP/~D: 4.-11-88 <br /> tlOJS NO. <br /> <br /> iTEM <br />ANNUAL E~"VAL. - TEMp OR <br /> <br />3' <br /> <br /> PAYEEz & ff'tAR,I[A <br /> RECEIVED EIY~ ..., .. <br /> <br />SEE ATTACHED FOR RE(~u[,REt'4E <br />ZONING THi~; PER~I,T <br /> <br /> ~ HOE;,HP RENE:;1NAL Rlt4819 <br />E. ~DLEY, t,!ARION COUNTY <br /> <br />TOTAL ~£D <br />PI:;L~EV ~ Oi,JE~ RECEIPTS <br />THIS REOEJ PT <br /> <br />[TY ANIOUN T <br />1 $50.00 <br /> <br /> , j / $6o. oo <br /> <br /> DATE. Ii: <br />YTY BUILDIN~ .NYD <br /> <br />OFFICE COPY <br /> <br /> <br />