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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />09/28/90 <br /> <br />ANOAL, <br /> <br />OCCUPANCY <br /> <br />REE. I DEN'I II <br /> <br /> '17'57 ::~4ER/~r~,N RD fSE <br />AUI~15V,[ LLE OR 97325 <br /> <br />~Ri~ COUNI-Y <br /> <br />LOAD <br /> <br />510 ~ 7TH <br />~UBL1MiTY OR 9?285 <br />PHCNE: 769-5969 <br /> <br />2 <br /> <br /> - ~ TOWN,Mil5 <br /> <br /> 29 'UN]TS <br /> <br />I .~87 <br /> <br />PEF~IIT OR APPLICATION NO: 26290 <br /> <br />CONTRACTOR. NO. <br />~NDAL, O,F. & 8.J. <br />510 SW 7fH <br />rCJBLIHIrY OR 97385 <br />PttCNE: 769-5989 <br /> <br />ON'IELLiA HEIP-.fH8 NO,3 <br /> <br />log06 <br /> <br /> ITFJ'4 <br />5'FANOARO ON-SI TE SY~'fE3~I <br /> <br />PAYEE: <br />RECEIVED <br /> <br />TOTAL ~E,~EO FEIE~ <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />~ALANCE DUE <br /> <br /> QU.a~'I'ITY <br /> 1 $165.00 <br /> <br /> ~165.00 <br /> 155.00 <br /> $o.0o <br /> $o.oo <br /> <br />RECEIPT NO: <br /> <br /> ................ ,_ ....................... TYPE-' CHECK :~: 0 <br /> SgE Af"r~£O fX;X~T FOR RF-~tf~.~;5 OF ~ITE ~ S~T~. <br /> <br />* THi~ 18 A VALID PE~iT-* ~18 ~JT ~l~ 360 ~ F~ l~ I~E ~IE. IF <br />~ST~CTi~ FAJ~ TO ~ET ~L ~~ ~ STATE ~ ~O ~aZ~ ~TY ~ZLOi~ ~O <br />Z~1N60ROIN~, THiS ~IT NULL ~O ~lO. <br /> <br />REMARI~5: NEW SEPTIC R~2356 <br /> <br />DONALO E. [~JJOLEY, /'4ARiON CC~N~Y BOILDiNG OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />