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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:80 <br />24 HOUR CODE~A-PHONE: 588-7904 <br /> <br />DAIL 0b/'2~/9'~ I LMf-: q4:5't :A0 <br /> <br />OCCUPANCY <br /> <br />Rb~,~ DgN [ I <br /> <br />8512 HOL~(~JISf RD D6 <br /> <br />t~4RION CQUN ) Y NO <br /> <br />UbS2 HC~'~QUibl RD St <br />ALI)4SV l t_LC, (.) I'~ 97325 <br />~->ldON~ I 249-1092 <br /> <br />CON)MAC)OR, NO. <br />8OffER, ~ONALO <br /> <br />AU~bVILL~, OR 92325 <br />oHONk; r~9-.1092 <br /> <br />31 <br /> <br />~ilt ~'VALUAIJON, Pi~F LO') <br /> <br /> VALUATIC.~N[~ <br /> <br /> $~ 1W A~ 4~ <br /> AC NO NO (~ <br /> <br />T~'S"f NOLB~ READY~ CALL 1WK~0 <br />~¢E EVALUAT]~ NU~: TO ~N¢ OUT <br />~iSTING D~IN kiEL9 LiN~: <br /> <br />PR~I~S NO. BED--S: <br /> <br /> QU~N[iFY AMOUNt <br />~,~,~ ] $175.oo <br /> <br /> PREVIOUS REOEiPT¢ <br /> THIS a~O~l Pt SqTb.00 <br /> <br /> BALANCE 0U~ SO,U0 <br /> <br />PAYkE: 80RNER, OONALD R~C~iPI NO: 3b045 <br /> <br />R~.CklVI-° BY: CL ................. )YP~; Cji CHECK ~: 1902 <br /> <br />~b. AII~CHE° ~C~MaN[ FO~ RE~i~5 OF ~Si~ SEWAGE SYria. <br /> <br />NOT~: THis EI2ES NOT GRANT OR iMPLY P[~Ik-~II~N TO 8UiLO ~ THI~ PA~[L. P~NING ~D <br />~ST~CTI~ P~I~ ~IST BE ~TAINEO B~ORE BUILDING OR SEPTIC INSTAL~TI~ <br /> <br />,0r~.~ ~'~c ~ .'¢.~o. ~o OFFICE COPY <br /> <br /> <br />