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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON ~7301 <br /> <br />Ow~TE: 08/21/89 TIME: <br /> J ENN INGS. KEV]N <br /> <br />3~09=33~ <br /> <br />RESI D-ENT[, <br /> <br />AU~VI LLE OR 97325 <br /> ~RI~ C~NTY NO <br /> <br />po eox 336 <br />STAYTON OR 97383 <br />PHO~E~ 749-1323 NS <br /> <br />TYPE~ ON-SITE SELVAGE <br /> <br /> SITE NUDGER: 8!70 <br /> VALUATION; <br /> <br /> ~4 UNITS: <br /> <br />0.50000 <br /> <br />PECk, IT OR APPLICATION NO: 90182?8 <br /> <br />CONTRACTOR, NO. <br />JENNINGS. KEVIN <br />PO BOX 336 <br />STAYTON OR 97383 <br />PH(;~1E: ~49~1323 ~ <br /> <br /> ~ YE5 NO <br /> <br />lo. TEE SUPPLY: Pt4 <br />TEST HOLES RF..ADY= <br />5~TE EVALUATION NUNSE~ <br />EX~$TIN6 TANK SIZE: <br />~TING D~N F~ELO LINES: <br />~PTIC T~K ~PEO: ~ILL 8RING <br />PR~[~S NO. <br /> <br /> ITEN .... ;' ' :., (~JANT]:TY AIr, UN ? <br />AU'~'HOR];ZAT][ON NOTIOE - FLO. V[8]~' ' . :.v, '-.:;.,!"F ....... :.~:.....' ...... .....'.. ! <br /> <br /> ~ ~ ,, , ' '"" P~I~ REOEI~T~ $0,00 <br /> , - ~IS RECEIPT $ ~, 0~, ', ', <br /> <br /> SAUCE ~S $0. O0 <br /> <br />PAYEE: J~N[N~. K~ZN · .:'""~,';','., · . . ~E[PT NO: 19392 <br />~ECEIVED BY: ~ ~,_~ ...:,..'.. ~'..','Y'~,,' ,""~ ' ~EJ .CK CHECK ~: <br />.................. ~_~:::::: ~.~ .. ::::: .,... ............................... <br /> <br />· ~[S IS NOT A ~IT. ~'~. ;~PE'[~"~T ~ ~ A R~[~ P~ ~ERE THE <br />FOLDING ~T BE ~-.'""ZT'"]S '~E', ~SIBILI~ OF ~E A~LI~T TO ~ ~AT <br />ALI N~ IN~T[~ ~'.:~m-.,~[,~g. - <br /> <br />PL~ R~[~; 87~ C~ JURISDICTI~= BY ....... DA'TF2 <br /> <br /> <br />