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220 HIGH STREET NE <br />SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - <br />24 HOUR COD~E~A--PI-J. ON~-- 588-7904 <br /> - . / <br /> <br />owlCC~TE: 02/26/B1 T1MF: 1A:~-I :44 <br /> <br /> 198'72 OLJV~TEAD RD NE <br />AU&ORA ....... OR_ 97_002 .... <br /> <br />.SAME <br /> <br />TYPE,: ON--~i TE. S~NAGE <br /> <br />PERtVlZT OR APPLiCATiON NO: 8030628 <br /> <br />tNATER ,.E~PPLY: PW <br />TF_~T HOLES READY*. <br />$[T~ EVALUA]-J0N ~.: <br /> <br /> iTFJ~ <br />AUTHORIZAT.[C~I NOTICE - FL,O, VZSJ. T <br /> <br /> pAy~l=; JOHN,,L~N, JIM <br /> RE~EZVED BY: Pg <br /> - ........ "2--', ---~-'-----~- ~""- -, ,' --'~-~-',,,, <br /> 81~E ATTACHED [;OCUI~SNT FOR R~(~3LI.[REJt~N')'~ <br /> <br /> THIS IS NOT A PE~4IT, THIS ,:APPLICATION ra.~T <br />F~3LLC~.tNG IWJ~T BE ~LET~-n. IT IS THE <br />AI~ NE~ iNI~ORt'4ATiON ~ B~ PROVIDED. <br /> <br /> R~MARF~: AUTH R~5230 <br /> <br /> TOTAL A.SSES,SED FEE:5 <br />' PREVIOUS RECEIPTS <br /> THI~ REEEiPT <br /> <br />~ALAN~I~ DUE <br /> <br />$1~05. O0 <br /> <br /> $o.oo <br /> <br />OFFICE COPY <br /> <br /> <br />