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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 800 - 4::30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br /> DALE: 07/30/91 IiME: <br />OWNER SPENNER, JACQUIE ~2~,d~- ~ r^x LOt <br /> <br />CONTRACT CITY UGB <br />MARION (~OUN 1Y NO <br /> <br />3~ <br /> <br />YALUA ) ,(ON: <br /> <br /> NO : NO <br /> <br />MAp <br /> <br />~gRNIT OR APPL,~CAfION NO: 32684 <br /> <br />CONIRAC~OR~ NO. 36UgOP-10 <br />AAA 5~PlI(..: "J~VICE <br />2982 PRINGL~ RD 5E <br />5ALF_'~, OREGON 9?302 <br />?HONE: J'~8~ 7454 <br /> <br />WA)ER 5LIPPLY: PN <br />FE~I HOL~5 RgAOY: <br />5lfg EVALUAfiON NUNBER; <br />P.D(i~FiNG lANK $~ZE; <br />EXISfiNG 0RAIN P[ELO LINES; <br />S~Pf~C lANK PU~PED: <br />PREV~OU~ NO. BEDROOIv~: <br /> <br />REPAIR - ~AJOR / $80.00 <br /> <br />FOTAL A::5~E~EB FEES <br />PREVIOUS REC~IPI'S <br />~Hi~ RECEIPf' <br /> <br />¢80 L)O <br /> $o,oo <br /> <br />BALANCE DUE <br /> <br />PAYEE: REC~iP) NO: <br /> <br /> K~CEIVE~ BY: Dfl2 ............................................................. lYP~ CHECK ~: 0 <br /> <br />* THt~ ~S A VALID PER,lIT * THIS PE~[T ~P[P~6 ~60 ~ F~ iTS I~E ~I'E. iF <br />~T~T[~ FA[~ TO MEET ALL ~L%~ OF STATE ~ ~O ~RI~ ~NTY ~UtLDI~ ~D <br />Z~iNG O~,N~C~, THIS PE~IT NULL ~D VOID. <br /> <br />REM/kRKS: L)R4[NF[EL.~ REPA]R R~6480 <br /> <br />DONALO E WC)ODL,,EY, ~ARION COUN[Y BUILDING OFFICZAL / 8¥ <br /> <br />OFFICE COPY <br /> <br /> <br />