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MARION COUNTY BU1LDING INSPECTION <br />S~NA'rdR 6'r.~G. NO. 2.2S <br />220 HIGH STREET NE <br /> SALEM, OREGON 973O1 <br /> <br /> PtlOflE 588-5147 <br />CODE-A-PHONE 4'30 PM. - 8 00 A.M <br /> <br />RESIDENTIAL <br /> <br />~V[i. LE <br /> <br />OR 97325 <br /> <br />SALEN OR 97301 <br />PNQN~ 743-2331 <br /> <br />SITE NUiVIBER .- 6447 <br />VALUATI(~ = <br /> <br />4 4 33 8S 1H AR 48 <br /> 3.20000 AC NO NO <br /> <br />TYPEt ON-~ITE ~ <br />PERMIT OR APPLICATION <br /> <br />CCNTRACTOR, NO, <br />~00Z£, CC~NRAD & ROSA LEE <br />6291 OGLE ST <br /> <br />SITE EVALUA¥ICN <br />EXTSTING TANK <br />EX~STING DP-AXN F~*ELD LrNE~: <br />,.~_~TIC TANK ~: <br />PI~-VIOU5 NO. <br /> <br />,?~LEN ~ 97301 <br />PHONE: 743-2331 <br /> <br />13754 <br /> <br /> *t TE~I OUANTYTY ~ AHOUN"~'--- <br />ST,~NDARD Ct+.-SITE ~tSTEN 1 $165.00 <br /> TOTAL AS~.S~ED FEI~ $165.00 <br /> I=~-'VIOUS RECEI PT5 $165.00 <br /> THIS REC~ Z PT $0.00 <br /> BALANCE 0UE $o. O0 <br />PAYEE.- REC~ I PT NO~ <br />RECEIVEO BY= pr' TYPEz CHECK It. <br /> ~;u;';, ........ ~ <br />SEE A3-FACHED [X3Ct.~E~T FOR RE~UZRENI~3~ OF ON-~ITE f;~5*,IAGE ~f~TE34. <br /> <br />,....17J[~.[~__A. V_At,[p_P~.Z_T_, THIS PS~a~Zl' EXPZRES 360 DAYS FRCN ZTS ZSSUE DAI~. ZF <br /> <br />R~: NB~ ~PTIC Rlt6?$9 <br /> <br />DONALD E, W000~EY, M~RIC~ O{:}i..~'F~ ~t. IILDIN~ OFFICIAL, <br /> <br />ro~,~,u~e, r~v ,,,~ CheFICE COPY <br /> <br /> <br />