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~ARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: ~8-51 <br />24 HOUR CODE-A-PHONE: 558-7904 <br /> <br /> 02./20/92 Ti~E: 15:18:21 <br />SITUS nD~S~l LLP.~, RAYF~ND <br /> <br />TAX LOT <br /> <br /> 11;ZO0 DONALD RD NE <br />u~ ~J~a OR 97002 <br /> <br />MARION COJNTY <br /> <br />48040~000 <br /> <br /> UGB <br /> <br />NO <br /> <br />occui,.~cY RE~IDEN! <br /> <br />;~IT?" NUttiER: 92-00319 <br />~AN(AF~U. JA[ ioN: ZONE <br /> <br />EPU <br /> <br />~R ~JPPLY: PW <br />T~ST HOLE~ READYz WiLL CALL <br />SiTE EVALUASZr.~ NUD'IBER: <br /> <br />SEPTIC T~K ~NPED~ <br />PR~i~ NO. BED~: <br /> <br /> ITE~ Q1U/~NT i TY Air,JUN T <br />S1T~ I-¥AIJJATION, FI~T LO'~ I $180.00 <br /> TOTAL ~ED FE~ . ~ [~ ~ ~180.U0 <br /> P~l~ R~EIPTS { ] ~ ~J $380.00 <br /> THiS R~IPT ~ ~ SO.OD <br /> <br />R~XWO BY: C~ ~PE~ ~ECK ~: 0 <br /> <br />NOT~: THI~ DOE~ NOT ~ANT OR IMCLY PE~II~ION TO BUILD ON THi~ PAI:~EL. P~ING ~O <br />CONST~JCTI~N PE~ITS 14L~T 8E OBTAIN~n BEFORE B1JILDING OR S~SPTIC IN~TALJ. ATiON BEGINS. <br /> <br />RE]~ARKS: SiTE EYAL ST~NDAR0 SYST~ <br /> <br />D~NALD E. ~4~DOOLEY, MARION COUNTY BUILDING OFFICIAL- / BY <br /> <br />OFFICE COPY <br /> <br /> <br />