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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO.. 22~ <br />220 HIGH STREET N~ <br /> SALEM, OREGON g7301 <br /> <br /> PHONE: 588-5147 8:00 - 4;30 <br />24 NOUR CODE-A-PHONE: 588-7904 <br /> <br />.~IGNATURF OF APPUCANT <br /> DATE <br /> <br />17~15:22 <br /> <br />C~,TEGO~Y <br /> <br />R~Si DkN 1 ] <br /> <br /> 8512 HO~iS[ RD <br />AUMSVILLE <br /> <br />OR 9?325 <br /> <br />SE <br /> <br /> CONTRACT CITY <br /> <br />I~*IAR i ON COUNTY <br /> <br />DEPTH AR~A ~'1 UNITS 8S ll~ ~(~ COT 1IAI <br /> 1.8. AC NO <br /> <br />CORNEI~ AR 48 <br /> NO <br /> <br />CONTRACTOR,. NO. <br />t¢ORNER, DONALD <br />¢'1582 HOC4(,~UISt RD 5E <br />AUIV~-~V I LLE, OR 9'/325 <br /> <br />INATER SUPPLY: P~ <br />TE,~T HOLE~ READY.' CALL 1 WK AHEAD <br />SI'f'E EVALUAT/ON NU~ER: T0 GOING Ot,,~T <br />E,.','X,tSTINE~ "rANK SIZE= <br />EXISI lNG f~RAIN FIELD LINES: <br /> <br />;~RE"VlC'CJS NO. 8EDROOf4S: <br /> <br /> t TEN <br />SITE EVALUA~'ION, P1K'~'~1 LO]' <br /> <br />RkCEiVkO BY: CL <br /> <br /> r~u~'rl'f'Y A~,IOUN~ <br /> <br />TOTAL .A.-~ED ?EEl5 $175,00 <br />PRE~IOUS RECEIPTS $175.8o <br />THIS RECEIPT $O.O0 <br /> <br />BALANCE ¢.L~E $0.U0 <br /> <br /> RECEIPT NOt <br /> TYPE: ~ECK ~: 0 <br /> <br />b~-~ AT IACHkD LTOCUFIENI' FOR RE'QUIREf4ENI'S OF r,:)N-SIIE <br /> <br />NOfE= FHI$ {~OES NOT ~)~qNT OR ltCoLY PERMIB,~ION TO BUILD ON THIS PARO~L,, PLANNING AND <br />CONSTR~CTiON PEC~"4iTS MUST BE OBTAINED BEffORE BUILDING OR SEPTIC INSTALLATION 88BINS. <br /> <br />-- <br /> <br /> <br />