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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET N~ <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br /> CODE-A-PHONE 4:$0 p,M, - 8:00 <br /> <br />The work will be Derformed by ia registered builder. <br /> <br />~tGNATUR~ OF APPLICANT: ......................... <br /> DATE: ............ <br /> <br />O~E: i 1/20/87 TIME: 9.:.26; 20~ ...................... :"?~'~'8~'; ...................................... <br /> ~, ~,R. 40503-¢91 <br /> <br /> 20?82 F I ~E~T sTrEET NE t~'~"~= .......... ~' u~&" '~cu'~. <br /> ............................................................. NO .......... ; .... <br /> <br /> ~UYER: R.R, NARSH <br /> ~t~9~ LIBERTY ST. NE <br /> PHONE~, 678-5497 <br /> <br />LOT: .'8[~K: ' <br /> <br />878.5223 i ....................................................................... <br />AURORA ~?002 <br /> ; 5ITE NUFEtER: 2168 <br /> _L VALUAT ~ ON: <br /> <br />TYPE: CN-S';~'TE 'SEI~GE <br /> <br />PERMIT O~ APPLICATION NO: <br /> <br />CONTRACTOR, NO- <br /> <br />SUYER: R.R. I,~AR~N 678-522~ <br />2129~ LIBERT~ ST, NE AURORA <br />F~ON~: 578-549? <br /> <br />5571 <br /> <br /> WATER E4JPPLY: C~ <br /> TE~T HOLEE, READY: <br /> SITE EVALUATION NUMBER: 3712 <br /> EXiSTiNG TANK SIZE: <br /> EXISTING ~P, AIN FIELD LINE'S: <br />, SEPTIC TANK i::'UNPED: <br /> PRE"VIC~J~ NO_ 8EOROO~; o <br /> <br />C~jANTITY ANCUNT <br /> $65.00 <br /> <br /> $o.o0 <br /> <br />PAYEE; ' - ' .... ' <br />,~,-,-~ -,-*., . .... INVOICE NO. <br /> <br />~R~: P~IT ' ', ' ' <br /> <br />~ALO E. ~DLEY, m, RI~ ~N~ BUILDING 0FFICrAL / 8Y <br /> <br /> <br />