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MARION COUNTY BUILDING INSPECTION <br /> SENATOR 6LDG,, NO. 225 <br /> , 220 EIGH 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 />12/17/90 T [I~IE~ 11;48-.50 <br />EMERY, ADRIAN <br /> <br />TAX LOT <br /> <br />66952~000 <br /> <br />RES1D,%N. { <br /> <br /> 435 NORTH SANTI.A~ <br />OETRO! T OR <br /> <br />g734-~ <br /> <br />CONTRACT CITY <br /> <br />NO <br /> <br />OO¢UPANT LOAD <br /> <br /> NO 0¢ BEDROOMS <br /> <br />S?1? 14rH AVE <br />KE1ZER OR 97203 <br />PHONE: 390-1137 <br /> <br />13 3 01 <br /> <br />E~LL LANE TRAC'I ~10 <br /> <br />SiTE NU~ER= 11~30 <br />VALUATION= <br /> <br />5~ RE* <br />YES NO <br /> <br />tYPE.. ON-SITE <br /> <br />PERt.lIT OR APPLICAtioN NO-.. 29057 <br /> <br />COflT'P, ACroR, NO. <br />EMERY, ADRIAN <br />8717 14TM AVE <br />KEIZER OR 97303 <br />PHONE~ 390-1137 <br /> <br />1.%a. TE~SUPPLy: <br />TEST HOLES READY: WILL CALL <br />SITE EVALUATION NUIV~ER: <br />EXISTING TAJ'CK SIZE; <br /> <br />~EPTIC TANK <br />PREVIOUS NO. <br /> <br /> 1 FE.~ <br />SITE EVALUATION, FINeSt LOT <br /> <br />PAYEE: <br /> <br />TOTALLED FEES <br />PREV'IOU~ RECEIPT~ <br />THiS R~'i~;EiPT <br /> <br />~ALA~C~E Ir, JuE <br /> <br />RECEIVED BY: c] <br /> <br />QUANTITY AMOUN~ <br /> 1 $175.00 <br /> <br /> ~175.00 <br /> 175.00 <br /> $o.oo <br /> <br />SO.gO <br /> <br /> INVOICE NO: <br />TYPE: C~ECK ~: 0 <br /> <br />SEE AiTA~HbD UOCUNENT FOR RE-qUiRE3VF6!NFS oF ON~E, iTE SEI~E ~Y~TE~. <br /> <br />NOTE: THIS DOE~ NOT BRANT OR I,MPLY PER~IDx~,IIDN TO BUILD ~ THiS PARg'Eg. PLANNING AND <br />CONSTRUCTION F;~F~IT$ MU~T Bt= ~TAiNED 8E~)RE 8L;ILZ)ING OR SEPTIC IN~TALLATi~ BEGINS. <br /> <br />R~fflARK5~ 5E - SEEPAGE 'FRENE~H /~,~ <br />DONALD E. NOOOLEy, MARION COUNTY BUILDING OFFICIAL / BY .................................................~ <br /> <br />OFFICE COPY <br /> <br /> <br />