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MARION COUNTY ~UILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH 8'I~'REET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE:S~8~14~ 8:00- <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />t em a cegislered b~lOe¢ OR ( ) the authorized ~reeentat~ve SI~NA~R~ O~ APPLICANT <br /> <br />SITUS ^DOR=SS~RUIZ' FEL, IX <br /> <br />· ' C0I~TRUCT~ON TYPI~ <br /> <br />I CONTI~ACT CITY:: <br /> <br />127~8 DONALD LCXDP RD NE <br />AURORA OR 97002 <br />USE OFBUlUDING,, ' ................ IR~RZ~I"~TY NO <br /> <br />RES! <br /> <br />SiTE NUMBER: 313198 <br /> <br />IRI~EG k O'i'~ 1~'~ CORNER <br /> NO 2 '' Y~ <br /> <br />MAP <br /> <br /> iTEM <br />SE < 6 MONTHS OLD <br />SI]E EVALUATION, FIRST LOT <br /> <br /> % <br /> <br />HATER.T~JPPLY: ~ <br />TEST HOLP_.~ READY: YE5 <br />SITE EVALUATION NUIVi~ER: <br />I~XISTiNG TANK SIZE: <br />~13TI~ D~iN FIELD LIN~: <br />~TIC T~K ~O~ <br /> <br /> QUANTITY ~N! <br /> ~ $~o.oo <br /> 1 $~75.oo <br /> <br />TOTAL A~.~IE~SED FEE~ $285.00 <br />PREVIOUS RECEIPT~ $0,00 <br />THiS RECEIPT $285.00 <br /> <br />BA~CE ~E $0.00 <br /> <br />PAYEE: RUiZ, FELIX ,~__. RECEIPT NO: <br />RECEIVED BY: ? ............... ,___j .......... TYPE: CA CHECK <br />SEE AT TACHEO.;._DOCUMENT <br /> <br />1HIS ~ NOTtlGIP,/~T OR II~Y PERNI~i~ION TO ~I~ ~ ~1S P~. ~I~ ~O <br /> SITE E~AL ~2036 INSTALLING N~ S~T~.~ OLD $~T~ <br /> <br />OFFICE COPY <br /> <br /> <br />