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MARION COUNTY I~UILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH ~TREET NE <br />· ~ALEM, OREGON 91301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P.M, - 8:00 A.M. <br /> <br />STEELE <br /> <br /> 13132 BROOK~IDE DR <br />AURORA OR 9'7002 <br /> <br />24gG N IN ~T <br />ALBANY. ~ 9'/321 <br />PI'I4~E ~ 928-5018 <br /> <br /> ..:~ <br /> 172 118 <br /> <br />TYPE~= (:IN-SITE ~ <br /> <br />PERNIT OR APPLICATIGN NO, <br /> <br />STEELE <br />2495 N H ~I~XCiDE. Ri~T <br />A~LE~.. OR 97321 <br />P,'~NE. 9~8-501a <br /> <br />90110~6 <br /> <br />~TER EUPPI.Y: CH <br />T~T HOL/~ READY= <br />SITE EVALUATZCN NI.~BER= <br />~ZSTI~ T~K$IZE~ 1000 <br /> <br />~PTZC T~K ~ <br /> <br />EXISTING SYSTE~ EVAL. RPT. _(~ 1 $100.00 <br /> TOTAL ~ FEEE; $100.0o <br /> ~ PREVIOJS' RE:C~ 1PT~. $0.00 <br /> THI~ Itti~El PT:, , $100.00 <br /> <br />~' ou~ $o. oo <br /> <br />PAYEE: RONALD DOCKTFJ~-PUI~3.4A..~ER RE(~'rpT NO: <br /> ~ ~ 11812 <br />EIVED GY: ~ ........... :. TYP~: Ct< CHECK 1~= 3139 <br /> <br /> ..... 211 lllll II ~1 .._ II IIII m ""."__ ~... 'm iI · . <br />~L~.~:~N~ ~r%L~: TI~ZS ~J~I~T~J~T .~);.~qPl~l~e~'~ A ~""~ ~1 ~E ...... <br /> <br />l~Y DATE ..... "'~ <br /> ~, CITY ~URI,.~3~ ICTICN,. 8Y DATE <br />FOR LO~ Rg4828 ,- <br /> <br /> <br />