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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BEDG. NO 225 <br /> 220 HIGH ~g'CTRE..ET NE <br /> SALEM, OREGO~ <br /> <br /> PHONE: 588-5147 8:00 - <br />24 HOUR CODE-A-PHONE~ 588-7904 <br /> <br />L~A(t:.t Ub/28/91 'r'u4E: 10:02:37 <br /> ,~: I. L, EL)NARD <br /> <br />AU~V'!LL~ OR 9?,925 <br /> <br /> R~'S [ fD~N 1 <br /> <br />A'IAR ,~ C)N COUN l' Y NO <br /> <br /> 4 <br /> <br />1 95 <br />5. UN~YS AC <br /> <br />$I1E NUmaR; <br /> VALUA 1 i ON: <br /> <br />RANGE ZONE <br /> ~'PU <br />m~EO LO'r NO COF~NE~o <br /> <br />MAC' <br /> <br />TP~T ROLES READY: <br />51YE ~VALUA] l~ <br />~ZST ~NG f~K <br />~[~]ING DP~[N P[ELO LINES: <br />SEPTIC TANK <br />PR~V~ NO, <br /> <br />TOTAL AE~EE~SED F~ <br />PREVIOUS REJ$EiPTS <br />THIS RECEIPT <br /> <br />(~JANII1Y A~YZ)UNI <br /> <br />$14b.00 <br /> SO_GO <br /> <br /> ~ BALANCE OUE $0.Ou <br /> ~A~E: 58LL, EDWARD "I,. \ RIgCEiPT NO~ 351g4 <br /> REC~IVkD ~Y. D¢42 __'~¢.~,,~,~_ TY~£: CK CHECK ~ 245 <br /> <br />~ THiS IS NOT A PERMIT. THIS APPL[CAT[ON F~JST GO THROUGH A ~[~ ~ ~ER~ THE <br />FOLDING ~ST BE ~L~EO. IT [$ THE ~SIB[L[TY OF THE APPLi~ ~O ~RE ~HAT <br />ALL N~ IN~TI~ H~ BE~ P~IDED, <br /> <br />OFFICE COPY <br /> <br /> <br />