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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG. NO. 225 <br /> <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />~4 HOUR CODE-A-PHONE: 585-7g04 <br /> <br />o~.~ E': 12/03/90 T J[ MI~ .- <br /> <br /> 113~. JAMES I~AY <br />AU~'SV I LLI~, <br /> <br />¢ONST~USTION TYp~ <br /> <br />OATSGORY <br /> <br />OCCUPANCY <br /> <br />~E <br /> <br />11401 ~)5iNK,NVlP FiOAD SE <br />,c~HONE: 749-1225 <br /> <br />SU E~DJVIGtON <br /> <br />TOWNSHIP <br /> <br />SITE NURSER: 11549 <br />VALUATiON~ <br />RANGE ZON8 <br /> <br />MAP <br /> <br />AC NO NO <br /> <br />A~ <br /> <br />48 <br /> <br />PERMI1 OR APPL, ICAIlON NO: 282~5 <br /> <br />CONTRACTOR. NO. <br />LONG, WILLIAM <br />1 14~1 Sf'£INKAFIP ROAD <br />AUF'CSV l LLE 97'3~5 <br />PHONE: 74g-1225 <br /> <br />HATER .~¢J PPLY = <br />FE~T HOLEE, READY: NO <br />~iTE ~A~ATI~ NU~ER: <br />~iST/NG TANK <br />~iSrING D~IN FIELD LIN~: <br />~PTIC T~K PUMPED: <br />PR~i~ NO. <br /> <br /> iTF-Jvf ()UAN F I ['Y AI~NT <br />Sllb IF_VALUATiON, FIRSI k~l ~ $175.00 <br /> <br />TOTAL <br />PREVIOUS <br />THIS RE~'EI PT <br /> <br />$0.00 <br /> <br />BALANCE DUE <br /> <br />PAYEE: RE~iPT NO: <br />RECEIVED BY: c'l lYPE: CHECK <br /> <br />SEt- ATTACHED t.3OCUM~N'i F~R REqUiREMENTS OF ON,-¢5tTE SEINA~E E~YSTP:.~, <br /> <br /> NOTE: THi~ DOE~ NO'F GRANT OR I~'LY ~I~Ig~N TO BUILD ON THIS PARCEL+ PLANNING AND <br />CON~TRUCTiCq~ PF~.RMiT$ II~UsT DE C~TAINED BEPORI~ EIUILDiNG OR SEPTIC iNSTALLATiON DE~IN~. <br /> <br />REMARKS: 5E R~4475 sro 5YS)'E.~ CURTZAN DRAIN <br /> <br />CONALD E, W0ODLE'Y. MARION CDUNTY BUILDING OFFICIAL, / BY ........................ <br /> <br />F~u~ uc ~ s~n~ 4/~o OFFICE COPY <br /> <br /> <br />