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MARION COUNTY BUILDING INSPECTION <br />SENATOR 8LDG NO, 22,5 <br />220 HIGH STREET NB <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-514-7 8:00 - 4::80 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />DALE; <br /> <br /> bb, L [_, <br /> <br />liME: 12:25:21 <br /> <br /> 943~ PORf~R ROAD <br />AU~SVILLE OR 9?225 <br /> <br /> CONTRACT CITY <br /> <br />F~iR.[ON COUNTY <br /> <br />NO <br /> <br />OCCUPANT LOAO <br /> <br /> SiTE NUIv~R: 13408 <br /> VALUATION: <br /> TOWNSHI~ AANGE ZONE <br /> <br />5. AC NO NO <br /> <br />MAP <br /> <br />NATER SUPPLY: P~ <br />f~.%f HOLES READY= <br />SITE EYALLIATION NUNBER: <br /> <br />EXISTING DRAIN Fl~gD LiN~S; <br />SEPTIC r~K ~MPEO: <br /> <br />If~M QUANIiIY ~UNT <br /> <br />TOIALASS~ED FEES <br />PREVIOUS RECEIPTS <br />IhlS RECEIPT <br /> <br /> THiS I5 A V~iD PE~iT * THI~ P~IT ~PI~ 360 DA~ F~ ITS i~E ~TE. i.~ <br />~T~CTi~ PAi~ TO ~E~ ALL ~i~ OP ~TATE ~ ~D ~R1~ ~NTY BUILDING ~D <br />&~iNG ORDiN~C~, THIS PE~T ~A~ BEdE NU~ ~D <br /> <br />RECEIPT NO: <br />CHECK <br /> <br />BALANCE 0UE $0 00 <br /> <br /> <br />