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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG- NO, 225 <br />320 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: ~88-5147 8:00 - 4:30 <br />24 HOUR CO,E-A-PHONE: 588-7904 <br /> <br />Othe~ <br /> have reed ~nd ~0tee {5 the terms stated ~"t~;~ve~se side <br /> <br />F~ERY. DAL~' <br /> <br />T ~..t, lE .~. 14 :.59 >4J~ <br /> <br /> 9854 ~OLF CLUB RD <br /> AUMSVI LLE OR 97325 , ~ ~ <br />USE OF BUILDING; ............................................ ~J~,i~. ,COUNT.Y--i ....... J~O .............. ~ <br /> <br /> 3 ; RES/DENT <br />...... i C~NBTR~.IbTION TYPE; <br /> <br />P.O. 598 <br />STAYTGN, OR 97383 <br />PHONE: 759-5276 <br /> <br />I'YPE: ON-'SITE SEWAGE <br /> <br />PERNII' OR APPLICATION NO: 32951 <br /> <br />CY,;~I'RACTOR, NO+ 312 <br />EMERY &~21NS CONST+ <br />PO BOX 398 <br />$'FAYI'ON, ORE 97383 <br />PH~¢qE: 769-7751 <br /> <br /> ITP_3q <br />REPAIR - ~AJOR <br /> <br />PAYEE= <br />RECEIVED BY= CL2 <br /> <br />60 <br /> <br /> I~ ~XJANTiTY AMOUNT <br /> : 1 $@0.o0 <br />¥OTAL"~i~ESS~0 FEE~ $80.0o <br />'PREV~0U~"RECEiPT$ $80.00 <br />ITHi~ RECEIP'r $0-00 <br /> 8A~CE ~E $0.oo <br /> <br />'RECEIPT NO: <br />TYPE: CH~K ~: 0 <br /> <br /> ~ ~IS IS A V~ID ~IT *,,',THIS'..~ZT ~1~ 360 ~ E~ I~ I~E ~TE. iF <br />~T~i~ FAI~ ~ ~ ~ ~I.~.~ ,OF STATE, ~ ~D ~I~ ~ ~I~I~ ~D <br /> <br />RF.7,1ARKS: TANK & DRAiNFIELD REPAIR R:ht6493 <br /> <br />0ONALD E. WOODLE'Y, /¢ARiC~I C*OUNTY BUILDING OFFICIAL / BY <br /> <br />~o~ * ~c ~.s~ R~V, 4~ OF F[CE COPY <br /> <br /> <br />