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MARION COUNTY BUILDING INSPECTION <br />SENATOR DLDG~ NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 1~,8-5147 8:00 - <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />i CON~;TRUCTION TYPE OCCUPANCY <br /> <br />R~OE~NI i <br /> <br /> 8612 ~r~AW F:Y..,]UAR~ RD <br />AUNSVI LLE OR <br /> <br />97325 <br /> MARION COUNTY : NO <br /> <br />! OCCUPANY LOAD" <br /> <br />lYPE: 6~-SIiE <br /> <br />PE. RN~ f (.IR APPLIC;A'I ION NO; <br /> <br />C¢_~ { RAC fOR, NO. <br />KO f YRE, PAY <br />8~,'13 ~HAW ~)UAR~ RD SE <br />AU~VILLE, OR 9?325 <br />P~ON8: 384-2318 <br /> <br /> SITE NUNI~ER: 10216 <br /> t VALUAT i ON: <br /> <br />13 BS 2W AR3 <br />6,04 ~ NO Y~ <br /> <br />9034903 <br /> <br />WATER E~PPLY; PW <br />TESt HOkES READY: <br />~IT£ kYALUAT'ZON NUMBER: <br />EXIStiNG TANK SIZE: <br /> <br />iN PROC~ <br /> <br />ExI$1'[NG DRAIN PiELD LINES; <br />SEPTIC "F,'~'qK PUMPEO: <br />FYqEVIC.~8 NO. BEOROOt.lrS~ <br /> <br /> ITEM <br />SE < 6 M ON IH5 OLD <br /> <br />~ANr i TY <br /> 1 <br /> <br />$~05.00 <br /> <br /> TOTAL ~I~3E, EO <br /> PREVIOU8 RECEIPT~ $0.00 <br /> .. TH['S ,RF-~E[PT $10b. OU <br /> :SAL~ I~,JE $0.00 <br /> PAYEE: KOfI~, PAY ~ RECEIPT NO; 36874 <br /> <br /> Sh~ Atfa~gD OOCUMENT FOR RE~JIRENENTS OF ON--~iTE ~E'WAGE <br /> <br />* THiS I$ NOT A PErMiT. THIS APPLICATION I~ld~T ~0 THir~lkl~ A R~II~N ~ ~E.~ THE <br />~L~I~ ~ST 8E ~- IT I~ ~E ~181~ITY ~ ~E ~1~ ~0 ~ THAT <br /> <br />~o~ # ~c ls-~ ~ ,w OFFICE COPY <br /> <br /> <br />