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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 /> ; OWNER: ~X I~6f: '¢ CATEGORY: <br /> KiLNARTIN, PAT ' 753~138& RESIDENTIAL <br /> <br /> I 5758 FILBERT CREEK LANE SE ,, ~ONTRA~T CITY: ) ~: ~T <br /> ~ AUMSVILLE 0R ~7~25 ~ARION COUNTY jHo <br /> OsE 0¢ ~0~L~i~ .................................................... z ~ ........................... <br /> <br /> 2~4 HO. CENTER ST. ~ ...................................................... <br /> SUDLIMITY 97385 ~ SITE NUHBER: <br /> PHONE: 7'69~7576 ~ VALUATION: <br /> <br /> ,'~b~; : ~'~ m~t'~i'b ~7 ~ ~b'~"~ J ~ ~ ~- ~] ZONE .......... )m MAP', <br /> : ; L 14 L es 2W AR <br /> <br /> 2.58 AC fl0 flO <br />........ ................ ~ .................. ~ ................ ;;,T~7'?;; ...................... l , .......... <br /> <br /> TYPE: ~UHB~H~ PE~IT OR APPLICATI~ H0~ 58~44 <br /> <br /> CONTRACTOR~ <br /> KILH~ETIN. PAT <br /> 2~4 NO. CENTER ST. <br /> SUBLIHITY ~7~85 <br /> PHONE: 7&~-75~ ' <br /> <br /> ITEM QUANTITY AMOUNT <br /> W~TER L~NEG. I~T ~8~: FEET 1 <br /> PLUMBING STATE SURCHARGE : <br /> <br /> ": :: :~EVZOUS RECEIPTs ' $21 <br /> THIS RECEIPT <br /> <br /> RE~EIVED BY: DM ..... :TYPE: CHECK ~: <br /> <br /> COHSTRUCT[~ C~SE5 FOR A ~/O~ :,~::2~ ~YS~ OR [F:.'C~CT~oH F~[LS TD HEET ALL <br /> EGUIREHEHTS OF STATE LA~S ZONING ORDINANCES, THIS <br /> ALL 8ECOHE HU~ AHD , :, <br /> <br /> . , ::: : <br /> <br /> OFFICE COPY <br />FORM 8 L~C 15-56 REV. <br /> <br /> <br />