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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97;301 <br /> <br /> PHONE: 588-5147 8:00- 4;30 <br />24 HOUR CODE-A-PHONE: 588~7904 <br /> <br /> giB1 ~IIFH RO SE <br />AUNSVi LLE OR 97325 <br /> <br /> TAX <br /> <br /> CONSTRUCTION TYPE:: <br /> <br /> CONTRACT CITY <br /> <br />f~R [ CN COJN TY <br /> <br />57§58-000 <br /> <br /> RESi,O~J~ I"~ / <br />' O¢~O~'~'cv: <br /> <br /> SI fE NLIA'IBER: 4904 <br /> VALUA I' ! ON = <br /> <br />~S IIRR~G LOT 2[a'~ : COnh~ER, '%J~- ' '-J ............. <br />AC NO ' NO ......................... <br /> <br />ANNUAL EVAL_ - 'T.EJ~IP OR HDfSHP Iq-I <br /> <br />TOTAL AS~ET::~ED FEE~ <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />(~JANIIIY <br /> 1 <br /> <br />RECeIVeD BY: cl <br /> <br />At,!OUN1 <br /> $60.OO <br /> <br /> $60~00 <br /> $o-oo <br /> <br />BAt.~NCE [~JE $0. O0 <br /> <br /> REC~! P NO: <br />'rYPE-~ C~EOK ~: 0 <br /> <br /> SEE ATIACHED ~r, IEN'r FOR RE~XJIREJ~I~TS oF CN-SITE SEWAGE <br /> * THI~ l~ A VALID ~IT * ~I~ ~IT ~1~ 360 ~ F~ ITS I~E ~TE. iF ........ <br />~T~CTI~ FAI~ TO ~T ~L ~R~ ~ ~TATE ~ ~0 ~I~ ~ ~I~1~ ~D <br /> <br />,qENARKS: HAROHSiP Rt:':':':':':':':'~ENAL <br /> <br />DONALD E. NOODLE-f, MARION CGUNTY 8UiLOING OFFICIAL, / 8Y <br /> <br />~, ~ ,~.~v ~ OFFICE COPY <br /> <br /> <br />