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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:$0 <br />24 HOUR CODE-A-PHONE:-5~-7904 <br /> <br />I am performing work On a property I own or o~cuDy. , <br />Other <br /> <br /> DATE: 09/08/92 TIHE: <br /> <br />~,IGNATURE OF AP~L ~ANY ................... <br /> <br /> OAT~: ................... <br /> <br />l'~r~eh: ZELLER~ VICTORZA <br /> '. RESIDENTIAL <br /> <br /> 7555 POET RD SE ~ .......................................... ~ .......... <br /> <br /> MAiLiNG ADDRESS; ~ ~'F~ON~ ......................................... <br /> <br /> P.0. BOX ~057 ~ ............................ <br /> AUHSV[LLE, 0R ¢7~25 <br /> PHONE: 749-~71~ ~ VALUATION: <br /> <br /> · ~) ) 20A ~ S0~50. ! SF ~ NO ~ NO <br /> <br /> ' WATER SUPPLY: P~ <br /> TYPE: OH-SZTE ~WAGE ) TEST HOLES READY: <br /> PERHIT OR APPLiGATI~ HO: ~2849 i ~TE EVALUATION <br /> NUMBER: <br /> EXISTZN~ TANK SZZE. ~000 <br /> CONTRACTOR, NO, ) EXISTING ORAIN FIE~D LINES, <br /> SEPTIC TANK PUNPEO. <br /> ZELLER, VZCTORIA <br /> P.O. BOX 10~7 "' ' ......... <br /> <br /> AUHSV%LLE. OR 97325 "" <br /> PHONE: 749-371~ I <br /> <br /> ~TEH .... qUANTITY ANOUNT <br /> REPAIR - HAJOR ' 1 $105.o0 <br /> ............ ,TdTAg, A~¢ESSED,"FEES <br /> '..PREV'IOUS, RECE,ZPT$ <br /> · "....' ..... ; ' ' .: '~, 'T'H~'TREcE-IPT ":i .... $25.00 <br /> 'i' . ", .... ' ' .%' ' , $O~O0 <br /> PAYEE: ZELLER. VICTORiIA ' ,, '"'"':'"":"','."'.'"":'.i:.'.'. ...... RECEIPT uO' <br /> RECEIVED BY: CL ~ :.. ", '"" ": ...... '"" ....... " ~w~. ~ .~6~ <br /> SEE ATTACHED DOCUmEnT :'~O~:~Ee~[~E~EUT~,i,O~ ,O~,[TE 5E~A~ !,~YSTE~. <br /> <br />~_ _ uu ION A~L3 TO ~EET'ALL .REQU.IREHENT8 .06';,8~,L'AW.8 'ANO HARION COUNTY BUILOING AND <br />ZONIN8 ORDINANCES, THIS PERHI~ SH~L '~E~O~E.',,RUL,~ <br /> <br /> L &'r ' .... " .... <br /> <br /> OONALO E. NOOOLEY, H~RZON. couNf~ 8ulEoru~ OFFICIAL / BY ~__~ <br /> <br />~, ~c ~.~ n~, ~ OFFICE COPY <br /> <br /> <br />