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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO, 22,5 <br />220 HIGH STREET NE <br /> SALEM: OR~_GON 97:301 <br /> PHONE: 588-5147 ~ ~:00 - 4:30 <br /> 24 HOUR OODE-A-PHON~' 588-7904 <br /> <br />11/27/90 'r ZME: 13:14:24 <br /> <br />CA, PP. kVu.~ER? & JOANN <br /> <br />CATEGORY <br /> <br />OCCUPANCY <br /> <br />22740 t~OON~W AVE NE <br />~NURO~A, OR 97002 <br /> <br /> 70 100 <br /> <br />PE~Mif OR APRLI~I~ NO~ <br /> <br />22?40 ~6Y AVE NE <br />~. OR 97002 <br /> <br />7000. <br /> <br />25~01 <br /> <br />_t~Eti ON CouN fY NO. <br /> <br />~ATER~UPPLY: PM <br />TEST HOLE~ READY: <br />~[TE EVALUAT1C~ NUMBER: <br />EX[STiNG lANK $~ZE: 1000 <br /> <br />SEPTIC ¥~K ~EO: 10-26-~0 <br /> <br /> ITEM <br />AUFHOR.[ZA"r~CN NOT;[C£ - FLD. VISIT <br /> <br />QUAN f ! IY 1 <br /> <br />TOTAL AS.~EO FEES <br />PR~f [CUM RECeiPt'5 <br />THIS RECE.~ Pl' <br /> <br />~At.~NCE CUE <br /> <br />$3o5~0o <br /> <br />~05~0o <br />105.00 <br /> $0.00 <br /> $0.00 <br /> <br />PAYEE: REOEiPT NO: <br />RE~CEIVEO BY: LIN TYPE= CHECK ~: 0 <br /> <br /> SE8 AITACHE'O OOCUMENT FOR REQOtR~EN'F~ OF ~JTE ~N~E-~[~i <br /> <br />* THIS iS A VALID PE~IT * THIS PE~iT ~Pi~ ~60 DAYS F~ ['rS I~E ~TE, iF <br />~ST~CTi~ FA[~ TO MEET ~L ~iR~TS ~ STATE ~ ~O ~RI~ ~NTY MUILOING ~O <br />Z~ O~iN~C~, THiS PM~iT ~LL BE~ ~LL ~O VOID, <br /> <br />R~lVlARKS: SEPFIC AUTH - FIELD ViSIt R~3368 <br /> <br />[Y3WALD E, WOOOL£Y, MARION CCNJNfY BUILDING OFFICIAL / BY <br /> <br />-~0~ ~/MC 155~ REV 4¢30 OFFICE COPY <br /> <br /> <br />