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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: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />OIher ., <br /> <br />SIGNATURE OF APPLICANT:: <br /> DATE <br /> <br />: owNAFATE .- 03/06/~2 TIME.+ <br /> <br /> s~¥u$ ADD'ESSALL~Y' C4dOE & LADY <br /> <br />CONSTRUCTION 'TYPE <br /> <br />RE~ I DEN t <br /> <br />150 N BUFTE ~T -- <br /> <br />.... b~.YRO'z'? NO <br /> <br />SU BP fVISION <br /> <br />72t0 RiCG~-~J'~LAY RD <br />,~rtgRl DAN. OR <br />PHONE: 843-2622 <br /> <br /> NUMBER: 92-00518 <br />~a~ALUAT tON .~ ZONE <br /> <br />WIDTH '~'/8 DEPTH 1 5 ' AIhEA' ~] - ~UNIT~: <br /> t00- -~' 13~9~' .... 't 00'~0,,. ' <br /> <br /> ~ 0 "' IRREG, ~.o"r ~E CORNER <br /> <br />- SF .... NO- ,,,, <br /> <br />TYPE: ON-:51"rE SEWAGE <br /> <br />PbRMI I OR APPL~CA)'ION NO; 38082 <br /> <br />CONTR.g~'FOR ~ NO, <br />ALLEY, DUDE & LADY ROBERTA <br />7210 RIIgGEq,,,~AY RD <br />~ERi~, OR <br /> <br /> i [P.J~ C,X,.JAN T i 1Y <br />AL ~ E~,'T ,ION 1 $150.00 <br /> <br />TOTAL ASS~ED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT' <br /> <br />~150_00 <br />150_00 <br /> $O.OO <br /> <br />BALANCE DUE $0, O0 <br /> <br />PAYEE: iNVOiCE NO: <br /> CHECK <br /> <br /> RECEIVED BY: el TYPE: <br /> ~EE ATTACHED O(YCUMENI' FOR ~iR~T5 OF ~i"rE S~E <br /> <br /> * THI~ IS A V~ID ~IT * ~ZS P~[T ~IR~ 360 ~ F~ <br />~ST~I~ FAI~ TO ~ ~L ~I~T8 OF STATE ~ ~D ~RI~ ~NTY ~/LDING <br />Z~iNG ~l~, THi~ ~IT ~L e~ ~ ~0 VOID. <br /> <br />R E3~RF,,5: AL F~P,A I ION <br /> <br />gY,)NALD E. NOODLEY, ~AR1CH COUNTY BUILDING OFFICIAL / BY <br /> <br /> OFFICE COPY <br />FORM#MC t5.5~ RE~J a4~JO <br /> <br /> <br />