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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 &'00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> i ~Jm a registered builder OR f ) the &uthor zed r0Dre~enCa ~ve ~ ~NATUR~ O~ APPLfCANT:: _ <br /> <br />0A'f~: 11/13/~q r~E: 16~12=21 <br /> <br /> 9578 SFAYrON ROAD SE <br />AJJCgSVILLE OR 97325 <br /> <br />~ONYRACT el'FY "'UE~, - '- <br />I%&RION COUNTY. NO <br /> <br />M A'i'LI N6 ADDRESS, -- ............................... Su BD~VlSI6~ ' <br /> <br />~40NE; 769-"¢822 <br /> <br /> BIOOK <br /> <br />TYP~:: ON-SiTE SEWAGE <br /> <br />P~J'T OR APPLiCA]'[ON NO: <br /> <br />Cr,,~'TRACTOR. NO <br />BUTLER, DAVID <br /> <br />127, AC <br /> <br />R~PAiR - MAJOR /U~ (~JANFiTY ANOUNY <br /> <br />TOTAL ~S£D F66S $85.00 <br />PREVIOUS R~CEIPTS $0.00 <br />THIS RECEIPT $85~00 <br /> <br /> $0.00 <br /> M8748 <br /> <br />  -'~ALaNCE (DOE <br /> PAYE[: 8UFLCN, ~ViO <br /> R6C~:~VEO <br /> <br /> ~' ATTA~EO ~M~T FOR RE~I~TS 0F ~-MiTE S~E 8YST~, <br /> <br /> * THi~ <br />P~L~ING ~T 8E ~EO. iT IS THE ~iBSLI~ ~ THE AgPLI~T TO ~ THAT <br />ALL N~A~ IN~TI~ <br /> <br />P~.N REVIEW: 8Y .~..~//~'-DATE (//~(~ CiTY JUR.[SOICT,[ON,. BY Ilia. rE <br /> ..,.. .................... /.___~. .................... ~ ............... <br /> <br />OFFICE COPY <br /> <br /> <br />