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SENATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br />SALEM, OREGON 97301 <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br /> PHONE: 588-8147 8:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I :sm performin9 work on a property I own or occupy <br />l am a registered builder OR ( )theauthorlzedroprosonta~ive <br />of a (ogistered builder, <br />The work wU) be pedormed by a registered builder. <br />Other <br />I have read and agree to the terms stated on ~ho reverse side of <br />this document. <br /> <br />DATE: <br /> <br /> DATE:: 85/18/93 ..... ~],ME. i1.12~52~' <br /> <br />S~TUSAD~T[~UII,ITON,¢ PNII.IP& BEB~A <br /> <br />TAX LOT: <br /> <br />: CATEGORY: <br /> <br /> ],65 rLIF'FORD AVE: <br /> DETROIT <br />USE OF BUILDING; <br /> <br />OR 9734.~, <br /> <br />~ETROTI , NO <br /> <br />tOT: <br /> <br />~746 SW CONUS <br />~ OR'fl..,ANI), OR 97,~,,I, 9 <br />PHONE~ 245-6498 <br /> BLOCK: SECTION: <br /> <br />PATTONII <br /> <br /> SITE N~NBER: <br /> VALUATION: <br /> RANGE; ZONE: MAP; <br /> <br /> DEPT~: <br /> <br />7,5 <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PEI~HIT OR APPLICATION NO-' <br /> <br />CON'I'RAC'TOI% NO. 44877 <br />Hem'y Al~,uis Excavating Ltd <br />48[4 Lo~ir Rd ' <br />S:L 1 vet i:on. 97~81~,8888 <br />PHONE: 87~-4~47 <br /> <br />46816 <br /> <br />WATER SUF'PLY <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING BRAIN FIEt_B LINES: <br />SEPTIC TANK PUMPE~: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM [~UAN'r ITY AttOUNT <br /> $0 <br /> <br /> TOTAL ASSESSED FEES <br /> PREVIOUS RECEIPTS <br /> TH'rS RECEIPT $8.08 <br /> <br /> BALANCE I)UE <br /> ~ AYES; ,, INVOICE NO: <br /> RECEIVE1) BY: PB <br /> ............................ ._,:~=;~:;;===== ........................................ TYPE-. ONECK ¢j::0 <br /> ATTAO .: OOOJ E ,rr fOR-------------------------- <br /> SEE <br /> <br />tOIqSTRUCTION FAIL. S TO MEET ALI_ REOUIREHENTS OF STATE LABS AND MARION COUNTY BIJILfllNG AND <br />ZONING ORDINANCES,~ THIS PER~IT SHALL BECOME NULL AN~ VOID. <br /> <br />REFIARKS:I <br />F't,.,AI,I I)ATED 4/'.$8/93. FIEi,.,D STAKED F:'SR LOCATION. <br />I)l]~'.iAI..I) E., WOO;gL, ET, iIARI:ON COUNTY BUIL.~)]:NG OF'F:I;CIAL / JOY <br /> <br />FORM # MC 1~-5e REV, 4/90 <br /> <br />OFFICE COPY <br /> <br />rE DEN:[AL ~42849,~ OKAY FOR S'I'ANDAF¢D ORI, G,1, NAL & S/F REPAIR,, SEE REV]:SEB PL. OT <br /> <br /> ................. .............................................. <br /> <br /> <br />