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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG- NO, <br /> 220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> I h.~,,e feaa-- and ag,'o0 to the terms stated on the ~ver~' <br /> this document <br /> <br />~rE: 02/19/92 r~: 11~28~51 <br /> CALH~N <br /> <br /> PHONE: 5~8-5147 8:00 - 4:$0 <br />24 HOUR CODE-A-PHONE. 588-7904 <br /> <br />4000-74110120 <br /> <br /> 7988 BAF~ARA t.,N <br />AUFr~VILLE OR 97325 <br /> <br />PO BOX 12042 <br />SALEM OR 9?309 <br /> <br />LOT <br /> <br />WIOTH <br /> <br />2 4 <br />DEPTH <br /> <br />TYPE: <br /> <br />PE~iT OR APPL[CA, TION NO: 9038378 <br /> <br />C..'CNTR,a~C[OR, NO, <br />CAIJHCUN CHARLES <br />PO ~OX 12042 <br />SALEM OR 9?309 <br />PHONE: 364-32~9 <br /> <br />lViAR i [X~ CCUN I"Y NO <br /> <br />WATER $~UPPLY = <br /> <br /> [ '[ EM <br />STANDARD ON-SiTE s~"r~ <br /> <br />QUANIITY <br /> 1 $210,00 <br /> <br />TOTAL A.?~EE~ED FEE.~ <br />PREVi(~t~$ RECEiP'¥~ <br />THI~ RECEIPT <br /> <br />$210_00 <br />$230.00 <br /> <br />PAYEE: CAI. J'iOJN. CHARLE~r3 RECEIPT NO: <br />SE~ AT'r~ED ~M~T ~R R~iR~TS OF ~JTE S~E <br /> <br />R~IARKS~. S'IANDARD SYSTE?,I <br /> <br />OFFICE COPY <br /> <br /> <br />