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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO, 225 <br />2'>0 HIGH STREET NE <br /> SAL, EM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8::00 - 4::30 <br />24 HOUR CODE-A-PHONE: 5~8-7904 <br /> <br />06/12/90 liME: 11:09:58 <br /> <br />NELL~, JEFFBR~ <br /> <br />TAX LOT GAY:G0~Y <br /> <br />DEN f]U <br /> <br /> 121'13 ~EST SFAYFON RD <br />AU~V,[ L[.~ OR <br /> <br /> VA~A r i UN: <br /> <br />~. 6799S983 AC NO NO <br /> <br />TYPP: ON-~ll[ ,SEWAGE <br /> <br />f,>gRMIT OR APPLICATION NO: 9024788 <br /> <br />CON ~ P,,~J'F OR , ND. <br />SNELLS, JEFFER¥ <br /> <br />~,~t, TER ~PPLY: PW <br />T[-~T HOL~ READY.+ <br />S~.TP~ EVALUA1 i~ NU~ER: <br />~I~TIN~ T~K SIZE: <br />~ISIING O~[N FIELD LINES: <br /> <br />PR~I~S NO. BSO~: <br /> <br />j, l~J~l QUA.N T i 1Y ARiOUN 1 <br />R~-'PAIR - M~JON t $80,, 0O <br /> <br />TOTAL .'N.%$E~80 FE~S <br />PREAFIOU5 RECEIPTS <br />~HI~ RECEIPT <br /> <br />BALANCE DUE <br /> <br />$80.00 <br /> $O.O0 <br />$80.90 <br /> <br />$o.0o <br /> <br /> PAYEE: WELLS, J~PPERY RECEiP~ NO: 26243 <br /> RECEIVED BY: CL TYPE: CK CHECK ~: 1750 <br /> <br /> 5~ AFFACHEO 13CY.3'UM~J~f FOR RE(~OIRIiBcl.r~i%IIS O~ (,)N'-~ITE SEWAGE ~Y~TFJ~. <br /> <br />~ THiS I5 NOT A PE~iT. ~1S ~I~T[~ ~5T ~ TH~ A R~I~ P~ ~ERE ~E <br />FOLDING ~ST ~g ~P~. iT IS ~E R~ISILITY OF THE APPLI~T TO ~RE THAT <br />ALL N~ IN~Ti~ <br /> <br />PLAN RbVlb~: BY ~J__. <br /> <br />City JUR[$OICIlON: BY DAF~ <br /> <br />OFFICE COPY <br /> <br /> <br />