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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO. 225 <br />220 HIGH STREET NE <br />~ALEM, OREGON 97301 <br /> <br /> i have rea~l ~n,~ ~l~'~ to Me teems stated en the ~e~ side <br /> <br />ATE~ 10~2t/88 ....... T[~= 1[~21=~ . <br />u6 ~0R~ ...................... <br /> <br />CODE-A-PHONE 4:30 P.M. - R:OO A.M, <br /> <br /> 8914 SHAW SQUARE RD <br />UIv~VILLE OR 93'325 <br /> <br />'HQNE: <br /> <br /> 2.00000 ~ NO <br /> <br />~FPE: QN-~ITE ~ ~TER EL~PPLY-. <br /> TE~T HOLE~ REAOY: <br /> <br />SITE ~ER: -~826 ' <br />VALUATICN: <br /> <br />)ERMIT OR APPLICATION NO= <br /> <br />;ONTRACTOR, NO. <br /> <br />~E <br /> <br />N.iC]NE: 74g-2T21 <br /> <br /> ! TEM <br /> <br />9013038 <br /> <br />XNNIJAL EVAL_ - TENP OR HDSHP NH <br /> <br />:~AYEE: t~riN, MARL~ <br />~=CEIVED BY: o] <br /> <br />SiTE :EVALUATION NUMBER-* <br />EXISTING TANK $IZ2: <br /> <br />PREVIO.IS I~:CEI PTS <br /> <br /> E~CEiPT NO: <br /> <br />~ : .... ~ TYP~: OK CHECK <br /> <br />CDUANTITY AM(3JNT <br /> 1 $60.00 <br /> <br /> $60.00 <br /> $0,00 <br /> $50.00 <br /> <br /> $o.oo <br /> <br /> t3784 <br /> <br />~E ATTACHED DOCtJMB~IT FOR EEQUIRB~ENT~ <br /> <br />IL N~ IN~TZ~ ~ BE~ ~I~D. <br /> <br />:'LAN Rt"VI~: 8Y ~/I~A~ , DATE~ <br />~t~a, RKS: ~ I-LARO~HIP aUTH 1~5630 <br /> <br />CZTY JURISDICTION: BY, <br /> <br />OFFICECOPY <br /> <br /> <br />