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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 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> lameregisteredbuiiderOR( )theauthorizedrepre~entative <br /> of a registered builder, <br /> <br /> Other ,, <br /> <br /> OA'f'E: 10/07/97 <br />OWNER; <br /> HOHNS'I'E )_N <br /> <br />8;34:22 <br /> !, TA~'LOf: 90250--0?0 16^t~RY: <br /> RES~J DEN I'~AL <br /> <br /> ! bOOUPA~CY: <br /> <br />9?342 <br /> <br />!DEfROI f ( NO <br /> <br />USE OF BUILDING: <br /> <br /> 401 NE 29'f'H CT <br /> GRESHA~ BUYER: EL. DEN, J~N <br /> ~ON~; 667-6939 sire NO'ER: 14469 <br /> ~ VALUA'f' iON: <br />gOT'. '~BLO~K: ~ SECTION'. TOWNSHIP: ~ RANGE. ZONE: ' ' MAP~ <br />' 8 ~ 2 . ~0 5E <br /> <br /> 'TYPE ~-Sj'TE SEWAGE WATER SUPPLY: ~ ...... <br /> I~'E~'~' HOLES <br /> PE~i']' OR A~PLtCA'f1~ NO: 9035882 / SITE E~LUA'fi~:NU~ERt <br /> CON[RACTOR, NO. / ] ~IS'f~NG D~iN FIELD <br /> H~N~'f'E~N . ~ ~ ~EP'ric 'r~K PUMPED: <br /> <br /> TUi5 ,RECE~P~ $' 80. <br /> <br /> PAYEE: H~N~ EJN INVOICE NO: 37801 <br /> RECEIVED BY: c ............................................................. TYPE: IN CHECK ~; <br /> <br /> SEE ATTACHED ~G~EN'f FOR RE~iR~'fS OF ON-SiTE SENAGE ~Y~'f'~, <br /> <br />NOTE: THIS ~OE.~ NOT GRANT OR IMPLY PER~I~SION TO BO[LO ON THIS PAF~CEL. PLANNING ANO <br />CONST,~OCTION PEI~VlI TEJ IvlJST BE C~TAINED BEFORE BUILDING OR SEPTIC INSTALLATION BEGINS. <br /> <br />PLAN RE¥.IEW: 8Y DATE Ci'f'Y JUR],~Oic'r,tON: BY <br />f;,'ECV/ARK,S: S[,TE .... ' <br /> <br />FORM ~ MC 15-58 REV. 4fed OF FICE COPY <br /> <br /> <br />