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MARION COUNTY BUILDING INSPECTION <br />SENATOR I~LDG. NO- 225 <br />220~HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br />DATE: 11/16/90 T.[I~Et 13:40:47 <br /> <br /> PHONE:~ 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588.7904 <br /> <br /> TA-XLOT CAIEGORV <br /> ~SiDEN~i <br /> <br />CONSTRUCTION TYPE OCCUPANCY <br />MARION COJN [Y NO <br /> <br /> 9218 STAYTCN ROAD SE <br />AUMSV1LLE OR 97325 <br /> <br /> PHCNE: ?69-5385 SITE NUf'~£R: 11725 <br /> VALUATION: <br /> <br />~OT BLOCK SECTION TOWN~HIP RANGE ZONE MAP <br /> 11 95 3W EFU 59 <br /> <br /> 'r~T HOL~ REAOY: <br /> PbgC1' OR APPLI~Ii~ NO: 9028774 SITE ~ALUA?'i~ NU~ER~ <br /> <br /> ~RTIN, B~E ~ ~ ~EPTIC T~K ~N~0: , <br /> <br /> ~PA~R - MtN~ ~ ~ 1 $55.00 <br /> ~THORIZA~ NO~ICE - ~LD. WSI~ ~ 1 $105.00 <br /> <br /> TOTAC ~D FE~ <br /> <br /> THiM R~EIPT <br /> <br />  A~CE ~E $0.00 <br /> PAYEE: ~RFIN, 8~IE R~iPT NO: 30397 <br /> <br /> ...................... <br />~ TH[S zs NOT A PE~ZT, TH[~ ~[~T[~ ~T ~ TH~ A R~[~ P~ ~[RE THE <br />~LL~[~ ~T BE ~PLETED. JT Zs THE ~$[8~L[TY OF THE APPLZ~T TO ~ THAT <br />~L N~ ZNF~T[~ H~ BE~ P~DED. <br /> <br />RENARY~: ¢,'YJ~ILE Hr.,..~E FOR HARDEb~Ip R~T,4622 <br /> <br />CITY JURiSOlCI'iON: BY DATE <br /> <br />OFFICE COPY <br /> <br /> <br />