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MARION CdUNTY BUILDING INSPECTION <br />SENATORBLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 585-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />; sm a registe'ced budder OR [ ) the authorized ec, esentat ve <br /> <br /> OAI'E:12/19/90 ?It4E: 13:40:09 <br /> <br /> OEC(.7~ TA, JIM <br /> <br /> 1 1190 ~L~ ~D <br />~ OR 97002 <br /> <br /> 1424 ~L~ RD N~ <br />~, OR 9?002 <br /> <br /> CONSTRUCTION TYPE <br /> <br />MARION LT,.7~N fY <br /> <br />UGB <br /> <br /> NO <br /> <br /> SII~ NUttiER; 116:~8 <br /> VALUAT ION: <br /> <br /> RANGE <br />AS lW aP'u <br /> <br />pEP. SAil' OR APPLICATION NO: <br /> <br />~ I ~I'OR, NO, <br />O~TA, JiM <br />114~4 ~g~ RO N~ <br />~, OR 9?002 <br /> <br />WATER E~UPPLY: PW <br />TP-,.~T HOLES READy: <br />SITE ~'VALUATION NUIV'SER: 28518 <br />~Z~TZNG T~K ~Z~: <br />~ZSTZNG 0~IN F'JCL~ LZN~; <br /> <br />PR~I~S NO. BED~: <br /> <br />TOTAL A5.~D <br />PREVIOUS R~CEIPTS <br /> RECEIPT <br /> <br />QUAN i' 1 f Y AD~JN T <br /> <br /> [lt0.UO <br /> $0.00 <br /> <br /> PAYE, E: RECt=I P r NO; <br /> RECEIVED BY: pr TYPE: OHECK II;: 0 <br /> <br /> SEE A'ftACHED ~I FOR ~iR~T~ ~ ~ITE ~EWAGE ~T~- <br />~ THIS I5 A V~ID PE~IT · ~18 ~[f ~PI~ ~60 DA~ P~ IT~ I~E ~TE. 1F <br />~T~CT1~ FAZ~ TO ~ET ~ ~1~ ~ STATE ~ ~D ~R[~ ~NTY BUILDING ~D <br />Z~iNG ORDiNal, THIS ~IT ~LL B~E ~ ~D ~19. <br /> <br />RgMARF, S: N~q~ SEP] iC <br /> <br />CONALO E. WOODLCY, NARiQN CC~JN'rY BUi[.D[NG OFFICIAL. / BY <br /> <br />OFFICE COPY <br /> <br /> <br />