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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO- 225 <br />220 HiGH STREET NE <br /> S/LLEM, OREGON 97301 <br /> <br /> PHONE; .5&8~ 147 8:00 - 4:30 <br />24 HOUR'CODE-A-PHONE: 588-7904 <br /> <br />have reed and agree ~J the terms stated ~n the reverse ~ide Ot <br /> <br />Ow~I E.: 10/09/90 <br /> <br />OONSTRUCTJON TY~ <br /> <br />8801 HOi~IUiST RO <br /> <br />MARION CC~N Ty <br /> <br />NO <br /> <br /> 1187 <br />/~I',E,V l LLI~ oR 973215 <br /> <br />SECTION <br /> <br />SIT~ NUI,~R: <br /> <br />WIDTH <br /> <br />272 1~0, 27300.,, <br /> <br />E~ NC NO <br /> <br />P~IIT rjr APPLIC~ATIGN NO: 2?360 <br /> <br />~TRAC rO~, NO~ <br />JACK.SON, JOE 8. <br />PO 8UX 1187 <br />AUNSVi LL8 OR <br />~ONE: 749-2227 <br /> <br />TI:Tit HOLES RE. ADY: <br />8iTE IE~JALJ.JATION NU~ER: <br />~I~TIN~ T~K ~IZE; lOgg <br />~I5[ING D~IN FIELD LINES: <br />SEPTIC T~K ~D: 4-27-86 <br />PREVia5 NO. 8EO~: <br /> <br />AU rHORIZATiC~ NOTiC~ - NO VZ~IT <br /> <br />R~CEIVEO BY: CL <br /> <br />TOTAL ~:~i.~ED FEE5 <br />PR~WiOU~ RF_.CE [ P'TS <br />tHIS RECEIPT <br /> <br /> gJ~N T I fY <br /> <br /> t~O.OO <br /> 6Q.oo <br /> <br />RBC:Ei PT NO: <br /> <br /> TYPE: <br /> <br />~E~- A1 f.~Eo oocoMe.~l FOR Ru. qulPe_,~ENrs oF ~iTE <br /> <br /> THiS iS A VALID ~I1 ~ <br /> <br />LY-JNALD E. k~OOLEY, ~AR..[ON GX,LINIY BU,[LDiNG OPPICIAL / ICY <br /> <br />OFFICE COPY <br /> <br /> <br />