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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE; §88-d147 8:00 - 4:30 <br />24 HOUR OODE-A-PHONE: 588~7904 <br /> <br />O.N~¥E: 05/20/91 fiME'r'-I'~ <br /> <br /> HA~N~$, JULIUS <br /> <br />· TAX LOT <br /> <br />PORfLAND, OR 9'F2'r4 <br />PHONE: 235-09q 6 <br /> <br />31 ll <br /> <br />....... HAt,'~'4C~D <br /> <br /> , $iIE NUMBER: 12980 <br /> VALUA [ i O.N :._ <br /> ~EGYION -'- !-~'OW-~-~ I P RANGE ZONe' <br /> <br /> A~EA - - "1 ~'NITS 10 1~R5G LOt <br />~ 50 12450, 5F NO NO <br /> <br />PERHI~ OR APPLICATION NO: 9032315 <br /> <br />CON fRACFOR, NO. <br />HAINES, JULIUS <br /> 1633 $& 37'IH <br />POR'ILA~D, OR 97214 <br />kI'~ONE: 235-0916 <br /> <br /> IIEM <br />5ire EVALUAtiON, FI~T LC~ <br /> <br /> % <br /> <br />PAYEE: HAINES, JUL1U5 <br /> <br />TOTAL A~SE~S£D FEE~ <br />PREVIQU~ RECEIPTS <br />THiS RP.~EiPT <br /> <br />qu4~'4 T I T'Y <br /> 1 <br /> <br />INVOICE NOt <br /> <br />REC~c'IVEfJ BY: CL FYPS: IN CHECK <br /> <br />SEE Af fACHEg fgOCUIVlENT FOR ~E(~IP-,E. JVlIENT$ OF ON-SiTE SC;WAGE BYE, F~I. <br /> <br /> $175.00 <br /> $o.oo <br /> <br /> $o,00 <br /> <br />~A102 <br /> 0 <br /> <br />NOTE: THI~ DOES NOT GRANT OR lAY PEI~I~IC~ TO BUILD ON THIS P~EL. ~iNG ~O <br />~S~CTI~ PE~I~a~ST 8E ~TAiN~ 8E~ 8UI~ING OR SEPTIC INSTA~Ti~ <br /> <br /> R~t~RK~: 5~ <br /> <br />OFFICE COPY <br /> <br /> <br />