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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STF~EET NE <br /> SALEM: OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:$0 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />SIGNATURE 0¢ APPUCANT <br /> CATE <br /> <br />TAX LOT CATEGORY <br />CONSTRUCTION TYPE ~OCCUPANC¥ <br /> <br />AIJSMV ILLE OR <br /> <br /> CONTRACT CITY UGB <br /> <br />N'IAR I ON COUN l ¥ NO <br /> <br />PW(.)N [: t <br /> <br />749-1120 <br /> <br /> 32 85 <br />z~~ ?18 211092. SP <br /> <br />5i fE NUIv!I.dgR: <br />VALUA f iON; <br />F~ANGE ZONE <br /> <br /> ~ ~4 <br />IRREG LOT 'CORNER <br /> NC) NO <br /> <br />MAp <br /> <br />~IAYION r'¢IiLL_ CI tV .51LVERIrJN <br /> <br />~ ~Y~ON, OREf~(~ <br />~'~'lON U: ~5~ '270:2 <br /> <br />fE$1 HOL.~5 READY= <br /> <br />EXi~f ING lANK <br />EXiStiNG DRAIN F,i~LD LINES: <br />SEP[ tC lANK <br />PREVIOUS NO+ ~DNOOMS: <br /> <br />IOFAL A~WSSEO <br />PRE. V [ OU5 RE(.;~I PIS <br />|"fils <br /> <br />$ 80. (J (j <br /> $0 O0 <br /> <br />PAYEt. t R~CEIF~[ NO: 0 <br />h~i.(,EiVEO ICY: CL ~YPE: CNECK ~. 0 <br /> <br /> 5~ AlfACRgD DOCU~EN'f FOR REQUfRgMENTS OF ON-5;fE 3EWAGE <br /> <br /> ~ THIS IS A VALID PERMIT ~ THIS PEF~AIT <br />CONSTRUCTION FAILS TO MEET ALL REQUiREM~TS OF STATE LA~ AND MARION COUNTY ~UiLDING ANU <br />ZONING ORDINANCES, THIS PER,lIT SHALL BECOM~ NULL AND VOID. <br /> <br />I<EMARKU: UPClNF!~L,O REPA,~(.~ R~F]48f] <br /> <br />LA_)NALIJ b, WOOOL~:Y, rAARION CXJUNTY 8UILIJiNG OFi-.~¢;IcSf_ / ~Y <br /> <br />~o~t~ ~ ,,~c ~ss~ ~v ,~, OF FICE COPY <br /> <br /> <br />