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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:: 588-514'7 8;00 - 4::30 <br />24 HOUR CODE-A-PHONE; 588-'7904 <br /> <br />OA~E: 1'1/2'7/90 ri~E: 11 ;32;44 <br /> <br />SIGNATL~PE OF APPLICAN"' <br /> DATE <br /> <br /> TAX L, OT <br /> <br /> CONSTRUCTION TYPE <br /> <br /> 9218 ~'FAYfON R"GAD ~4[ <br />A',J~'F'~'V ~ L t..E OR 9't325 <br /> <br />USE OF BUILDING <br /> <br />MARION COUN fY NO <br /> <br />CATEGORY <br /> RE'~i DEN f 1 AL, <br /> <br />OCCUPANCY <br /> <br /> ~llE NUI~I~E~: 11725 <br /> VALUA r i ~: <br /> <br />95 lW EFU <br /> IPREG LOT 'COR~E~ <br />AC NO NO <br /> <br />5,9 <br /> <br />PgRMJf OR APPLiCAIION NO: <br /> <br />CONfRACf'OR, NO, <br />~AR'T'JN, 8~ <br /> <br />PHON~: ?b§--5:¢85 <br /> <br />287?4 <br /> <br />WA1ER ~PPLY: PN <br /> <br />SiIE EVALUAilON NUMBER: <br />EXiSflNG lANK 5I£E: <br />EXISTING DRAIN FJbLO LINES: <br />SEPtiC TANK PUMPED: <br /> <br /> ~r ~ EI~ OUAN f i f Y AMOU N I' <br /> RgPAiR ~ MINOR ) $55.00 <br /> ALIFHORiZAflON NOr,lOb - FLD. vlsif ) $!05,00 <br /> <br /> THiS RSCEi Pr <br /> <br /> BA~NCE ~ <br /> <br /> PAYEE- RECEIPf <br /> F~bCB1VEM BY; CL ........................................ TYPE: ORECK ~: <br /> <br />~ )'HIS IS A VALID PE~ll' $ THI8 PE~iT ~Pi~ $80 DAY8 F~ 1TS I~UE DAI~. 1F <br />~T~C[i~ FAZ~ TO MEET ALL R~iR~'[5 OF STATE ~ ~O ~RI~ ~N'FY BUILDING AND <br />Z~iNG O~DIN~C~, THi~ PE~iT ~ALL BE~ NULL ~D <br /> <br />WgM,~RKS: MOBILE HOME 'r-OR HAROSHiP R~,52;2! <br />OONALO P.,. WOOOL, EY, MARION cr.,AJNfY b~UILO~.NG OPPiCLAL / 8¥ ~.~ .... <br /> <br />OFFICE COPY <br /> <br /> <br />