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MARION COUNTY BUiLDtNG iNSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />DATE <br /> <br />GJ, LLrc~, RAY~ONO <br /> <br />15:00:51 <br /> <br />TAX LOT <br /> <br />CON~T~UCTIONTY~E <br /> <br />48040~000 <br /> <br />DONALD R0 <br /> <br />PHONE: 678-1859 <br /> <br />OR g7o02 <br /> <br />NE <br /> <br /> 17 45 <br />195 1600 312000. SF <br /> <br />iN1ARi ON COUNTY NO <br /> <br />T'YPE: ON-SITE 5~AG~. <br /> <br />PER~,,[! OR APPLiCATiC~ NO: gO3YDll <br /> <br />Ct,~ITRAC fOR. NO. <br />GJ[LL~. P. AYlflON O <br /> <br />PHONE: 678-1869 <br /> <br /> I 1 E~I A(~'x- <br />S[ fl;:; ~.'VALUATION, PI~T ~T <br /> <br /> s rfi <br /> <br />SZTE NUF~ER= 92-00219 <br /> VALUATION ~ <br /> <br /> NO NO <br /> <br />WATER SUPPLY: PW <br />TE3[T ROL~ RF_e,.DY: WILL CALL <br />SiTE EVALUATiQN NUIV~R: <br />~I~TING ~K ~iZE: <br />~iSTING D~iN FIELD ~[N~: <br />~P~iC f~ ~PEO: <br />PRE~i~S NO. 8~D~[ <br /> <br />qUANTIIY AMOUNT <br /> 1 $180.00 <br /> <br />$180.00 <br /> $0.00 <br />$180.00 <br /> <br />TOTAL /~S,SES,SED FEES <br />PRED, Q~ RECEIPTS <br />THiS RECEIPT <br /> <br />RE"CEIVEO f~Y~. P~ ................. -- ....... TYPE: CK CH~J~K 1:1:: ~322 <br /> <br />,SEE ATFACHEO DOCUMENT FOR REQUIRE~T$ OF ON-~ITE SL'~NAGE SY',STFJ~'I. <br /> <br />NOTE: THiS ~ NOT ~;~ANT OR I~IPLY i~I~iON TO BUILD ON THIS P~EL- P~ING ~D <br />~T~TI~ PE~ITS ~T BE ~TAIH~ 8~ ~1~1~ ~ ~TIC I~TAL~Ti~ B~INS. <br /> ......... ....... <br /> <br />OFFICE COPY <br /> <br /> <br />