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+ k <br /> <br />MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG NO 2~5 <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 />DATE." 1170~/90 TZM~; 32;5e,;19 <br /> <br />iOWNER DECC~TA, <br /> <br />AUk'ORA <br /> <br />OR 97002 <br /> <br />11424 E~HLEN RD NE <br />AURORA, oR 9'/002 <br />PHONE: 678~1784 <br /> <br />SIGNATURE OF APPLICANT <br /> <br />DATE <br /> <br />I~ARICN C;.,X)N FY NO <br /> <br />~I~E NUMBER ~ 11638 <br /> VALU,4. T I ON: <br /> <br />17 4S 1W EFIJ <br />',i'. UNITS AC IF~F~EG LOT y~ CORN~O <br /> <br />TYPS: ON-,SI <br /> <br />PE~I'I' OR APPLICA'IION NO: X8518 <br /> <br />CONTRACTOR. NO. <br />DEOOf3TA, JiM <br />11424 EHLEN RD NE <br />AURORA, OR ~7002 <br />PH~E: 678~1764 <br /> <br /> If'P~ <br />$i1E E"VALUA'IiC,~, FIg6! LOF 1 $175.00 <br /> <br /> TOTAL A~i~ED DE~:'~ $175.00 <br /> THIS ~E1PT $0,00 <br /> ~E ~E $0,OO <br />PAYEE: R~CEIPT NO: <br /> <br />S66 ATI~ED ~T FOR R~iR~TS OF ~ll'E 5E~G~ 5~r~, <br /> <br />NOTE: THi~ OOES NOT G~ANT OR IMPLY PI~IlE,~ION TO i~UiLD ON THIS PAF~CEL, PLANNING AND <br />CONE, TRUCTION PER~iT$ tvl. JST ~E OBTAINEO ~EPORE BUILDiNI~ OR ~EPTIC INSTALLATION BEGINS. <br /> <br />REMARKS: SE R'~$38~ ~;"I'O SYG'fEM <br /> <br />DONALO E. WOOOLP~Y, MARION C(~JNTY 8UtLOING OP~,-ICiAL / BY <br /> <br />~on~ # uc ~ mmv ,~,~,o OFFICE COPY <br /> <br /> <br />