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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 8:00- 4:30 <br />24 HOUR CODE-A-PHONE' 588-7904 <br /> <br />HUL~.~/~, R D OR <br /> <br />TAX t,GT CATEGORY <br />CONS3 RuC¥JGN TYPE G(~DUPANCV <br />CONTRACT ~ITY UG~ OCCUPANT LOAD <br /> <br />VALUA f' iON: ~ ~ <br /> NO NO <br /> <br />R~iO~ <br /> <br /> TYP~: ~--~IT~ SEWAGE ~AFE~ ~,UPPLY: <br /> l~l R0l~ READY: <br /> P~R~iT OR APPLiCATiON NO: 9031040 3iTE EVALUA'flON NUMBER: <br /> ~iST lNG <br /> lANK <br /> SiZEt <br /> CONT~fOR. NO. 3~535 <br /> ......... fr.~[~T[NG DRA£N P~ELD <br /> <br /> PIL)LALLA. ORE~N g'tO38 ~ / <br /> · ' "-]% <br />2%2 <br /> 1 $80_00 <br /> <br /> TO]AL ~S~ED PE~S $80.00 <br /> PREWI~ RECEIPTS $0.00 <br /> 'THIS RECEIPT $~0.00 <br /> <br /> $0.00 <br /> <br /> PAYEE= ~ER~C~ UNOa~NO ~'r. ~% ~ RB~iPI~ NO; 327~2 <br /> RECEIVED BY: ~2 ~ TYPE: CK CH~CK ~: 36~3 <br />.......... ~ ...... ~==== ~= ===~ZZZ==----~ .......................... <br /> <br />· THIS tS NOT A PEBiT. THIS APP~I~Ti~ ~ST ~ TH~ A R~i~ ~ ~ERE THE <br />~BLL~IN6 ~ST BE ~PLETEO. IT IS THE ~SIBiLITY OF THE APPL~O~? TO ~RE <br />ALL NB~RY 1NFO~Ti~ H~ BEB P~IOEO. <br /> <br />CIFY JURISDiCFtON~ ~Y DAlE <br /> <br />~o~u ~ ~¢ ', ~ r~Ev ,~,.~o 0FFIC E COPY <br /> <br /> <br />