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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />230 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE; ~88-$147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE; 588-7904 <br /> <br />Other ............... <br /> <br />DATE <br /> <br />02/-03/92 TIME: 12:18:51 <br /> <br />TAX LOT~ <br /> <br />CONSTRUCTION TYPE <br /> <br />R~.~IOENTI <br /> <br />AU ROP~ OR D'f002 <br /> <br />~ 61~-RA~T C~T¥ <br /> <br />NO <br /> <br />15051 PARK AVE <br /> <br />'PHONE: 878-2285 <br /> <br />$i1E NUf'~JER: 92-0D623 <br />'AA~AUJA F ION: ZON~: <br /> <br />-sF NC},: ........ N~ <br /> <br />PEK~'~iT OR APPLiCA1 iON NO: 90:~8184 <br /> <br />CC~ rRACTOR, NO. <br />~NOODERLY , TIMOTHY <br />1,5051 PARK AVE <br />~, OR <br />~E: 67~-2285 <br /> <br />~ATER .SUPPLY: C~ <br />TE.,SF HOLE~ READY: <br />5iIE EVALUATION NU~ER: 35019 <br />~iSTiNG T~K SIZE: <br />~I~TiNG D~IN FiELO LiN~ <br /> <br />9~EVi~S NO. BED~ <br /> <br /> iTEI~I <br />SE < 6 MONiHS OLO <br /> <br />TOTAL AE~E.5~ED Pa~ <br />PRE¥i~J$ RECEIPTS <br />THIS RECEIPT <br /> <br />BAL.~NUE DUE <br /> <br />PAYEE: SNOODERLY. TimOTHY <br />R~glVED BY: CL Typr_: <br /> <br /> iNVOICE NO: <br /> IN CHECK <br />SEE AT1ACHED [~3CUMENI" FOR RE~iRENENT$ OF ON-~iTE S~[AGE ~YSlEM. <br /> <br />Q~JANTI r'y AMOUNT <br /> 1 $115,00 <br /> <br /> $115.00 <br /> $o,oo <br /> $115.00 <br /> <br /> $o.oo <br /> <br /> 401 ~;4 0 <br /> <br /> ~ THIS iS NOT A PER,tIT, THIS APPLICATION MUST GO THROUGH A REVlE~ PROCEi~;~ I~HiERE THE <br />~L~iNG~T 8E ~PLET~. IT i$ THE R~ISILiTY OF THE APPLI~T TO--RE THAT <br />ALL N~ IN~TI~ ~ B~ P~IOED. <br /> <br />PLAN REVI~qN: [~Y ,,---V~---- <br />RF-.~ARKS: Sf'O SYS'F.6~ <br /> <br />CITY JURiSDiCTION; BY ......... DATE <br /> <br />OFFICECOPy <br /> <br /> <br />