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MARION COUNTY BUILDING INSPECTION <br />SENATOR SLDG NO 225 <br />2;20 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 5~-7904 <br /> <br />I have r~,~d ~r~d ~gfee ~0 I~O crm~ stated <br /> <br />ow,v~ [E; 10/10/91 <br />s~us *DDR~SS~XJNNELLY' <br /> <br />DA <br /> <br />OR s7oo2 <br /> <br />NE <br /> <br />CONYRACT CITY <br /> <br />N0 <br /> <br /> RES1 OEN ]; <br />:OCCV~ANC¥ <br /> <br /> 3 <br /> <br />SiTE NUP~R: 14055 <br /> <br />AREA 1 2 UNITS <br /> <br />~F .... NC) <br /> <br />IYP~.: 0N-SITE ,SEWAGE <br /> <br />PERMIT OR APPLICAIiON NO: <br /> <br />C(.,%N T RAC I'0R ~ NO. <br />DONNELLY. O A <br /> <br />350~3 <br /> <br />WAteR ,~JPPL¥: CN <br />T~r HOLES READY: HILL CALL <br />SiTE EVALUAI'iC~ NUMBER,. <br />~I~T~NG T~K ~IZE: <br />EX~STING O~iN F[EL0 LINES: <br /> <br />SITE EA/ALUAT~ON, EA, ADDL+ LOT <br /> <br />TOTAL A,~EE~ED P~ <br />PREV[OU~ <br />THZS <br /> <br />(~YJAN 1 1 1 Y AMOUNT <br /> 1 <br /> <br /> t145~00 <br /> 145, O0 <br /> <br />BALANCE CUE $0_ O0 <br /> <br />PAYEE: INVOICE NO: <br />RE'CEiVf:0 ~Sy: c-I TYPE= CHECK <br /> <br />NOTE: THiS DOES NOT GRANT OR z~°LY PEI~4/E~SICN TO 8U[L0 ON THI~ PARCEL. PI..AJ~iNG AND <br />CONSTRU~TiON PERMITS MUST BE OBTAINED BEFORE I~JI/..DING OR .SEPTIC J[N~TALLATION BEGINS. <br /> <br />DONALD E. ~[X]OLEY, Pt~RiDN CX3UNTY ~UiDDING OPPiCiAL / BY ...........................~ <br /> <br />FO~U ~ ~C '~-:~ REV ~ OFFICE COPY <br /> <br /> <br />