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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM~ OREGON 97301 <br /> <br /> PHONE; 5~8-5147 ~;00 - 4;~10 <br /> 34 HOUR CODle*A-PHONE: 588-7904 ~~,,,, <br /> <br />Of h eOs ered builder. <br /> <br /> 8754, WILL CREEK RD <br /> AUhlSVi LEE .......... ,-~ · <br />USE OF ~UILDING <br /> <br />SE <br /> <br />?49-2601 <br /> <br />35, AC <br /> <br />~^NGV~A ~ IDI~! <br /> NO <br /> <br />TYPE: ON-SI <br /> <br />PE~ll~ DR APPLICATION NO: <br /> <br />CoN ~ P. AC FOR, NO. <br />J~N~. <br /> <br />9031550 <br /> <br />WATER ~UPPLY: pw <br />TE~T HOL~ READY: <br />~i ~ EVAL~JATiON NUFE~ER~ <br />~i~TiNG T~K <br />~i~NG D~iN FIELD <br />SEPT [C T~K <br /> <br />ANNUAL ~¥AL_ - rENP OR HI:~HP ~.H <br /> <br />TOTAL A...,%.~ED F~ES <br />PREVIOUS RECEIPT~ <br />THiS RECEIPi <br /> <br /> h LANCE [~JE <br />RECEiVEO BY: pr''' ............. %~.;.~ .............. TYPE: OK, CHECK <br /> <br />* THiS IS NOT A PEI~4IT. THiS AROLiCATION I~I,I~T EO TH~ A ~I~ ~ ~E~ ~E <br />~z~ ~ST BE ~ET~- IT [~ THE ~IBILI~ ~ THE A~bI~T <br /> <br /> ~R~: ~NUAL HAR~P R~E~L <br /> <br />m~v, ~c ~s.~,~v 4~ OF FICE COpY <br /> <br /> <br />