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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG'_ NO. <br /> 220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-6147 <br />CODE-A-PHONE 4;30 RM, - 8:00 A,,M,, <br /> <br />1 at~'~'t/o~'llmg w~k ~,~ a i~@~ly I own or occupy. <br /> <br /> 08/02/89 T~4E: 3:10~$6p <br /> <br />m.~us^c~mr~CHURCH OF GOD OF PROPHECY <br /> <br />TAX LOT <br /> <br />CONG~TRUCTION TYPE <br /> <br />61221-000 <br /> <br />CATEGORY <br /> <br />OCCUPANCY <br /> <br />CONNERC IAL <br /> <br />10637 .STAYTON RD <br /> <br />OR 9?325 <br /> <br />,IS oLSON <br /> <br />TYPE: 0N'"'~ITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. ~ ~ <br />CHURCH OF ~D OF P~ :~ <br />916 N BI~ C/0 D~NI~ O~ <br />STA~, OR. 97383 <br /> <br />mARION COUNTY NO <br /> <br /> 1 '7 U~T$ <br />2. 00000 <br /> <br />9011230 <br /> <br />SITE NUtqBER: <br />,.~.AUJAT I ON: <br /> <br />2302 <br /> <br /> AC NO NO <br /> <br />WATER SUPPLY: <br />T~T HOL~ <br />S~T~ ~A~AT~ NU~ER: <br />~ST,ING. ~, ~ZE~ <br />~[STIN~ D~N FIELD· LINES~ <br />S~T[C T~K ~NPED~ <br /> <br />EFU <br /> <br /> Z <br /> ITEN (~.JANTITY <br />~D FILTER 1 <br />$~TE EVAL. 1 <br /> <br />PAYEE: NO.- <br />RECEIVED BY: eL 'CHECK <br /> <br />SEE ATTACHED DOCUMENT FOR <br /> <br />NOTE: THIS DOES NOT GRANT <br /> <br /> REVi'E~: BY__~ --- DAT~~._ ~ITY JURISDICTION: BY. ......... DATE __ <br />PL.~N <br /> <br />RENARKS; SITE EVAL FOR CHURCH R~SS8 Ex~NDFILTER PE~IT BAL CUE <br /> <br />ANOUNT <br /> ~300.00 <br /> 175.00 <br /> <br /> ~475.00 <br /> 340.00 <br /> $o.oo <br /> $135.00 <br /> <br />~O~M # ~c ,>.~ ,e',' ,~ OFI=ICE COPY <br /> <br /> <br />