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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />2~O HIGH STREET NE <br /> SALEM~ OREGON 97301 <br /> <br /> PHONE: 508-5147 8:00 ~ 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />OR 9'1002 <br /> <br />NO <br /> <br />1320 N. JVC <br /> <br />180 ~. P~IP~C <br />~U~ 97071 <br />~E: 981-81~? <br /> <br />NE~ COLONY PARK <br /> <br /> S1TE NU~ER: 10754 <br /> VALUA f ION: <br /> <br />SF NO NO <br /> <br />~'~,TER ,?:UPPLY: C~ <br />iE~T HOLE'~ READY: <br />SITE EVALUATION NUt'ruER: <br />~ISTiNG TANK SIZE= <br />EXISTING Of'>.AiN PIELO LINE'S: <br />~EP'f i C T~K <br />PREVI ~3 NO. <br /> <br /> ;[ T EM Q~UAN f i fY AMOUN l <br /> <br /> TOTAL ~$ED FEES $80_0U <br /> P~ i~ ~08i PTS $0.00 <br /> THIS RECEIPT $~0. oD <br /> <br /> ~NCE DUE $0. O0 <br /> PA~bg: OR~ PAC~P~C/~IBCT[~, INC. iNVOiCE NO: 29332 <br /> <br />FOLL~iN6 ~r BE ~ETED. IT I3 THC R~I~iL~TY OF THE APPLiO~f TO ~ THAT <br />ALL NEC~ARY INFO~Ti~ H~ BE~ ~1~D. <br /> <br />REMARKS: FD~JOR REPA,~R <br /> <br />CiTY JURiSDjCTZCN: 8Y 0ArE <br /> <br />OFFICE COPY <br /> <br /> <br />