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MARION COUNTY BUILDING INSPECTION <br />SENATOR [~LDG,, 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 />~2010 SELDEN DRfV6 <br /> <br />OR 97326 <br /> <br />SE <br /> <br />rctARi ON C'OUN"f Y <br /> <br />SUE~DIVI~ON <br /> <br />NO <br /> <br />5.~vt~ <br /> <br />PHON~: <br /> <br />SiTE NUf48ER; 92-00797 <br /> <br />P~RI~[f O~ APPLiCAtiON <br /> <br />OON'IRACTOR. NO. <br />M~L,L~i, JA~ES <br /> <br />NAT~R~.~UPPLY~ ~ <br />I~r HOLB~ RPJ~DY: <br />SiTE ~ALUAtir...AN NL-IfC, SER; <br />~X~SIlNG I,.%NK 5IZg: <br />EXiStiNG DRAIN FIELD LINES: <br />SEPTIC lANK PUflP[0: YES <br />PRb~iOUS NO. 8EOt~OOIv~: <br /> <br /> i <br />AUfHOR~ZAI'ION NOrlC~ - F, LO. V~Sif <br /> <br /> QUANtifY A~(AJNf <br /> 1 t;]3o ¢o <br /> <br />TOTAL A.~ED FEES '~130_00 <br />PRk%'iOUS RECeiPTS $1~0.00 <br />IHI5 RECEIPT So_ob <br /> <br />8ALANC~ [~ <br /> <br /> PAYgg: RECEIPI NO: <br /> RgC~l'VgO ~Y: Cl TYPE: t~ECK ~: <br /> <br /> SEE Al rAo~gO oocuM~r FOR REQUIR~NTS OP ON-Sir~ Sb~A~E SYSTEm. <br /> <br /> THIS ~S A VALID P~iT ~ THiS PE~iT ~PiR~ $60 DA~ F~ IT~ I~ DATE. <br />~ST~OT~ ~AiLS TO MEET ALL R~fR~T~ OF STAT~ ~ ~D ~R~ ~NTY BUILOfNG <br />Z.~ING OROIN~C~, THiS PE~IT ~ALL BE~6 NULL ~0 VOIO. <br /> <br />L)ONALL) g. ~JODLEY. MARION COUN1Y 8UiLQiNL'~ OPhiC~AL / BY .................~ <br /> <br />OFFICE COPY <br /> <br /> <br />