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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 <br /> CODE-A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br />The work will be performed by 8 registered builder. <br />Other <br /> <br />: OWNER: <br /> OREGON FLOWERS INC. <br />i $1'rUS ADDRESS: <br /> <br />DATE: <br /> <br />TAX LOT; <br /> 40648-000 <br />CONSTRUC1]ON TYPE: <br /> <br />CATEGORY: <br /> COMMERC I,AL <br />OCCUPANCY~ <br /> <br /> 20727 HIGHWAY 99E :OCCUPANT LOAD: <br />~ AURORA OR 97002 ~ i <br />.................................... A BORA ......... , NO <br /> OP BUILDING: iNO OF BEDrOOmS: <br /> <br />PHONE~ <br /> <br />LOT: <br /> <br /> SITE NUMBER: 2285 <br /> VALUATION; <br /> <br /> !DEPTH: AREA: : UNITS: : IRREG. LOT: CORNER: <br /> 1000 ~ 10.0000 AC ! NO i NO <br />440 i .... = i ..... <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />OREGON FLOWERS INC. <br /> <br />11103 <br /> <br />WATER ,SUPPLY: PiN <br />TEST HOLES READY! YES <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEN <br />ALTERATIONS <br /> <br />* THIS IS A VALID PERNIT ~ <br />COfC&T~UCTION FAILS TO MEET, <br />ZONIN~ ORDINANCES, THIS <br /> <br /> QUANTITY AMOUNT <br /> I $145.00 <br /> :TOTAL <br /> PREViOUS:RECEIPTS $175.00 <br /> TH!S:RECEIPT -$~0.00 <br /> .. DUE $0.00 <br /> <br />PAYEE: OREGON FLOCNERS INC. ;iNvoICE NO~ 12101 <br />RECEIVED BY: c] __._¢;'~',/ . .... TYPE:' IN.'::OHECK ~: O <br />SEE ATTACHED DOCUMENT FOR <br /> <br /> [TS IE,SUE BATE+ <br /> AND~r4ARIONCOUNTYBUILDINGAND <br /> <br />RFJ~ARKS: ALTERATION- BUILDING SYSTEM {,-,~ [j . <br />DONALD E. WOODLEY, MARION COUNTY BUIL[:)Z'NG :~FP~:~'}AL /'BY ......... ~ ..... _ ...... <br /> <br />FORM # MO 15,56 REV. 6/8? OFFICE COPY <br /> <br /> <br />