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MARION COUNTY BUILDING INSPECTION <br />S~N'ATOR BLDG- NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> Other <br /> <br />DA~: 01/08/91 TZME: 15:48:44 <br /> <br /> 9292 ~t ~ RD <br />~VJLLE OR 97325 <br /> <br />A%~,R i ON {~JUNTY DR2 <br /> <br />CATEGORY <br /> <br />P.O. 983 <br />AUNSViLLE, OR <br />PHONE: 370-4569 <br /> <br />51 <br /> <br />TYPE: ON-Si1E 5~GE <br /> <br />PE,q~IlI' OR APPLICAIiON NO= 9029689 <br /> <br />CONTRACTOR, NO. <br />HiL~qON, MELVIN <br />P.O, 983 <br /> <br />PHONE: 3?0-4559 <br /> <br />AUTHORIZAIiON NOTICE ~ NO Vi$iI <br /> <br />PAYP.~: NILSON, JOHN <br />RECEIVED ~Y: CL <br /> <br />WATER,.~.JPPLY: F~ <br />TEST HOLE~ READY: <br />SiTE EVALUATZON NUFE]ER: <br /> <br />~E~TiC T~K ~ED: <br />PR~I~S NO. BED~: <br /> <br />QUANTITY AMC~JNT <br /> $~o.oo <br /> <br />TOTAL A,%.%~ FEE~ <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br /> $o.oo <br />$60.00 <br /> <br />8,At_a,NCE <br /> <br />$0.00 <br /> <br />RECEIPT ~t 31367 <br />TYPE~ OK C~ECK ~: 305 <br /> <br /> SEE A1TAX3HED DOCUM6NT FOR ~tRI~IENT$ OF ~iTE SE~E ~T~. <br /> <br />ALL N~ ZN~T~ H~ BE~ ~[~. <br /> <br />OFFICE COPY <br /> <br /> <br />