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MARION C,~)UN'GY BUILDING INSPECTION <br /> 'II~NATOR BLDG. NO. <br /> ~20 HIGH STREET NE <br /> .~ALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />COOE-AzPHONE 4:.30 RM. - 8,'00 A.M. <br /> <br />DATE: 10/03/89 <br /> <br />TZIvlE~ 11;35=20a <br /> <br />ertu~ ^aoR~S~HALLM&N, RICHARD <br /> <br />8834 DARLEY RO ~ <br /> <br />Y~R~ON CX3UNTY NO <br /> <br />~ccu~v: RE~IDENTII <br /> <br />KATHY <br /> <br />VALLiAT I CIN; ' <br /> <br />8406 <br /> <br />g$ <br /> <br />62 <br /> <br />TYPE= C~ITE ~ <br /> <br />PEI~IT OR A~ICATION NO: <br /> <br />HAL~, R ICHARO <br /> <br />WATER fJlUPPLY: Pt~ <br />TEST ~<:)LE~ READY <br /> <br />EXI~TING ORA[N FIELD~INES: <br />SEPTIC TANK PUlvlPED= <br />.pREvIous NO. BEDRO(I'/IG: <br /> <br />PH(~E: 769-3688 .... ' := ." <br /> <br />AUTHORIZATION NOTICE - FED V.~I~,-.'......,,,,,, . . · ....... .'~,,,,, '..... <br /> <br /> .,-.'.' ..... _:tOTAL; ,~ ,~ <br /> ...... ' "~I$::,~C~,: ........~..~:,,,:" · <br /> <br />E[VED ~Y= PR <br /> <br />SEE ATTACHEO DCX::/JlV~NT FOR <br /> <br />* ?HIS I$ A VALID P~i~IT <br />~ION FAILS TO <br />ZC~INO CRI:>INA~IC~So T~IS <br /> <br />AMOUNT <br /> $105.00 <br /> <br /> 105.00 <br /> 105.00 <br /> $o.oo <br /> <br /> $0.00 <br /> <br />II~IUE DATE. IF <br /> C~flTY~I~INOA~ <br /> <br />DONALD <br /> <br />ts.se ~a',, ,~ OFFICE COPY <br /> <br /> <br />