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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG. NO. 225 <br />. ' 220 HtGH STREET NE <br /> . SALEM= O,IEGON 97501 //' <br /> ' PHONE: 588-5t47 8:00 - 4.'30 ./ // / <br /> <br />08/:22/91 <br /> <br />MOR6/~, RON <br /> <br />TIME= <br /> <br />R~S l DhN [ <br /> <br /> 814.4. ,AUIV~VILLf*; HWY <br />AU~VILLP. <br /> <br />OR 97325 <br /> <br />......... t'¢,.AR..[C,~N ,.COLIN"/','( NO ,, <br /> <br />BOX 13611 <br />SALFJ~ OR 97309 <br />PHONE: 581-2757 <br /> <br />23 85 <br />5.54 AC <br /> <br />SiTE NUIVlBER: 12'711 <br />VAL.UAT [ON ~ <br /> <br /> 2l~ AR <br /> NO NO <br /> <br />rYP6: ON-SiTE <br /> <br />PEP,~II OR APPLICATION NO: 9034.635 <br /> <br />14ATE.~ .DJ, PPLY: PW <br />'FE.~'I' HOLE5 READY: <br />SiTE EVALUATION NUMBER: 31511 <br />~-XISTiNG T ~.N K <br /> <br />S~P f lC T~K <br /> <br /> I~EM ~r%~ ~UAN~ifY AI~N~ <br /> SE < ~ ~(.~FH5 OLD ~/~./ I $110.00 <br /> TOTAL ~ED FE~ $110,00 <br /> ~x PREW[~ RECEIPIS $0.00 <br /> THIS R~EIPT $110.00 <br /> <br /> BA~CE <br /> <br /> PAYEE; ~ALO <br /> RECEIVED BY: ~ ~ TYPE= OK ~ECK ~ 2857 <br /> <br />~~T B~ ~. IT IS ~ ~IBILI~ ~PLI~T TO ~ THAT <br /> <br />PLAN REVIF-"V¢: BY ........ [2¢.TE_ ." __ Cl]Y JUR.tSD.I[CTION: BY ................ DATE .......... <br />Rbt'4ARK.5: Nt-"N .~EPI-iC R~2557 <br /> <br />OFFICE COPY <br /> <br /> <br />