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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 OODE-A-PHONE:: 588-7904 <br /> <br />DAtEr 08/31/90 I' <br /> MILLER, JERRY - RENTAL <br /> <br />DATE .. <br /> <br />CATEGORY <br /> <br />OCCUPANCY <br /> <br /> 5555 HON~L. PRAIRIE RD <br />AUI~SV! LLE OR ,97325 <br /> <br />SE ~ONTRACT CITY U ~-~:: ' <br /> PlARlct~, CC~J.N 1Y NO <br /> <br />2 <br /> <br />435 N ~ACY S1 <br />MOM[NNVILLE, OR 99128 <br /> <br />CONTRACTOR, NOw <br />~LLER, JERRY - RENTAL <br />~35 N ~CY 51 <br />~iNNViLLE, OR 9'7128 <br /> <br />MAP: <br /> <br />~At'ER ~JPPLYz PW <br />TEST HOLb3 READy; <br />~ITE EVALUATION NUMBER: <br />~(iSIFIN~ TANK SIZE: <br /> <br />SEPTIC r~K ~MP~D: <br />PRE~I~S NO+ BED~: <br /> <br /> iiE~ qUANFIrY A~.X~NI <br />AUTHORIZA]ZON NOTICE - FL0. VISIT <br /> <br /> TOTAL ASSF. SSE0 FES.,~ $105.00 <br /> ~R~VIOUS RECEIP]$ $0.OO <br /> THiS RECEIPT $105.00 <br /> <br /> ~-~SALANCE ~.JE SO.OD <br /> PAY£~: J~NRY ~ibLER [%\ R~%EIPr NO: 28~5'F <br /> <br />SEE ATI~ED ~LJM~'f FOR RE~IR~ENT5 OF ~-SII'E S~g 8~fEM. <br /> <br />* THi~ 13 ~T A PE~IT. THiS ~i~TI~ ~,.~ <br /> <br />PLAN REVIEW: DY ............. DAFE .... ~ ............. CiTY JURI~DiC'flON: BY ..................... DAIE .................. <br />R~ARK~: AUTN <br /> <br /> OFFICE COPY <br /> <br /> <br />