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MARION COUNTY E~UILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: B88-6147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />ow~l'E: 01/14/9'J · <br /> <br /> 14664 EHL. E~ RI) <br />AUI~ <br /> <br />NE <br /> <br />LOAm <br /> <br /> OR g?o02 ~. <br />.............................................. MARION- 091~T¥-' ~ ....... NO ........... <br /> <br />....... : susmvlsi0~: ' ................... a <br /> <br />PHONE-, 878-2213 <br /> <br /> SITE NU~V~ER: 1214 <br /> .. VALUA <br /> i s[~oi~: ....... :i~SW~'~ii~, ............ nAMe;: ' '~SkkT ..... ' ~^~' <br /> <br />..... AI~X; ....... "~'2 ........................UNIT& <br /> j <br /> <br />29624 <br /> <br />',NATER ~JPPLY~ f~¢ <br />TIE~T HOLES READY'; <br />$1TE EVALUATIQ~I NL,~ER: <br />EXZ~iTZNG TANK 5IZE: 1000 <br /> <br />SEPTZC TANF, PU/vIPED: 12/29/90 <br />PREV%OUS NO, e;~9o~,- <br /> <br /> ITEM <br />Ir.,~XJSTJNEi '~'"STE~t EVAL. RPT, <br /> <br />QU~JqTJTY AiflOUNT <br /> 1 $100.00 <br /> <br />TOTAL A,S~E~,~ED FEES <br />PI;;~'VZ~ RECEIPTS <br />THZS RI~SEZPT <br /> <br />$100,00 <br />$100.oo <br /> $o.oo <br /> <br />' BALANCE DUE $0.0o <br /> <br />PAYEE: RECEIPT NO: <br />RECEJ[V~D E~Y: ¢~'J .... _=?.. ~-, 'i ~- '-- TYPE~ CH~CK ~: 0 <br />~EE ATTACHEO ~:X~.JI~E~T P"OR R~I,JzREt~,II~IT$ OF ON*,~ZTE Z~ '~T'~. <br /> <br />~: EXI.~TING ~TEM I~PORT r 3111 <br />~3~IALO E. ~eOODLEY, i~-RION (X)UNTY BUIL01NG OFFLCLAL / Ely ..............................~Y~_ <br /> <br /> <br />