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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 588-8147 <br />CODE-A-PHONE 4 30 PM - 8::00 A,M <br /> <br />Other <br /> <br />SIGN &TURE OF APPLICANT <br /> <br /> DATE <br /> <br />D~ 03/09/99 TIME: 3++05;52~ TAX LOT CATEGORY <br /> <br /> SANTIAH SANITARY SERV~R~TANA, ~ 56282-000 C~ERCIAL <br /> <br /> 9813 M[LL CREEK RD ~ 0ON~AC~ OCCUP&NT <br />AU~VI LLE 97 325 ~ ~ <br /> <br />~ BOX ~89 / I/ 5 <br />PHONE: ~ ~ ~- I SIT~U~ER: <br /> <br /> 188 ~[ SF Y~ NO <br /> <br />CONT~CTOR, NO. 312 A~TECT/~GZNEER, NO. HALL <br />EHE~ & S~S C~ST. ~ GEO~E HALL <br />~ BOX 398 %~%~ 800 N ?TH <br />STAYTON. ORE 9?383 ~ STAYT~ 9?383 <br />~E: 769-?751 _~ PH~E: ?69-?329~ , <br /> <br />PL~ REV[ E~ <br />FLEET ~HARGE -ZONE 3 ¢ ~ . ~ ~) $3.84 <br />BUILDING STATE ~HA~E ~' ~%~ $4.63 <br /> <br /> ~',~' ~¢ TOTAL ~ED FE~ $161.10 <br /> ¢ ~' ~ PREVI~S RECEIPTS $0.00 <br /> 'X~' ~S RECEIPT <br /> BALANCE ~E $0.00 <br /> <br />PAYEE= SANT~AH S~TARY SE~R~TANA. S~ 15302 <br />RECEIVED BY; DN TYPE+. ZN CHECK ~= 0 <br /> <br />~ TH~S ~S NOT A PE~T. THZ~ APPL~T~ON ~ST ~ TH~U~ A R~EN PROCE~ ~ERE TH~ <br />FOLL~NG ~ST BE C~PLETED. ~T ZS THE R~NSZSZLZ~ OF ~E APPLZC~T TO ~RE ~AT <br />ALL NECES~RY ZNFO~ATZ~ H~ BE~ P~V~DED. <br /> <br />PLAN REVIEW: BY ........... DATE .............. ' <br /> CITY JURISDICTION: BY ........ DATE <br />SEPTIC: BY ............... DATE <br /> <br />ZONING: BY __-.~_._%]~.,..- .--~ SETBACKS.*~. R¢----------------~-O RR-O <br />REMAR~:~, ~ ~OVE G~ND C~ II LI~ID T~K <br /> <br /> <br />