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MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG, NO. 225
<br />220 HIGH STREET NE
<br /> SALEM. OREGON 97301
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<br /> PHONE: 588.5147 8:0(3.4:30
<br />24 HOUR CODE-A-PHONEt ~8-7904
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<br /> : .............. ;,RE~ID.ENTIAL
<br />L _, W0,[i~,.. MA¥flE .........................................................................
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<br />flUMSVlLLE OR 97~25
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<br />RICHARD [.YON RS 265-&D2&
<br />1203u NE DEYERLY ~ NEWPORT
<br />PItONE: 749-2236
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<br /> ~ARIOII COUNTY_L~_O ~
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<br />.... }
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<br /> ! ST?.,[~,~[~.~F,~J~N ...............................
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<br /> SITE NUi~]R: 94-~222§
<br /> VALUATION~
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<br /> TYPEt ON-SITE ~Eg~gE | WATER SUPPLYt Pa
<br /> I TEST HOLES READY:
<br /> PERHZT OR ~PLIC~T[OH NO: 5~-.~S, 6~ I SITE EVALUATION NUMBER:
<br /> t EXISTIN~ TANK
<br /> CONTRACTOR,
<br /> NO.
<br /> EXISTIN~ DRAIN FIELD LINES:
<br /> WOOD, ~AYNE · ....; .... !.,.SEPTIC .~AN~ P:U~PED:
<br /> R~CHARD LYON RS 265=&82&....... ,'PREVIOUS ilO. 2EDROOMS:
<br /> 12035 NE ~EVE~LY ~R NEWPORT 97~ l
<br /> PHONE:· 74D-2236
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<br /> ZTEH : QUANTITY AMOUNT
<br /> SITE EVALUATION~ EA. A~DL...LOT: ..... ,,, .. , 1 $225.00
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<br /> · ., '!.':-' · .. TO~A~ ASSESSED.FEES $225.0e
<br /> ; :':.." ',",'.. PREV,~Ot~ RECF~.~TS',. $225.00
<br /> -.'.TH~S-.~ECEIP~ :':'.'" t0.00
<br /> "' ' '"":'
<br /> ,"<:. ;..ii.::.:.'i.'i','.,.,;s,:,::, :'.:'", ' "',
<br /> $0.00
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<br /> PAYEE: i . :.. ! : ! :....-:... ,' ':]'..':.:'."..-:'.,': .,:::.::::.:.;'... V:",',:'! .:.'. ... RECEIPT NOt 0
<br /> RECEIVED DY= DH ":""::,[~';-4.. ,...:,, .. · ~ ', ......... '.:'.' ,,' TYPE: CHECK ~: 0
<br /> .~E ATTACHED DOCUHENT EOR. R~QU~EH~S.O~,,;,OR';'sI'TE :SE~A~E
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<br /> , . .:.:..,,~::.:...; ,,,:. , ,..., '... ,,.
<br />HOTE: TN~ DOES HOT GRANT'gR"~P~Y"P~RH~SIOM' ~' ~UILD' ONe"THIS P~RCEL. PLANTING
<br />ONSTRUCTION P~RM~T5 HU~T D~"O~T~'[N~D'~EFOR~"~UI~D~NG OR'~'EPTIB INST~LLBTZON DEG~NS.
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<br /> SYSTEMS. FIELD STAKEOUT: RECOMMENDED. : '.. ~
<br />DONALD E. WBODLEY, HARION ~OUNTY ~LIILDIN~ OFFICIAL / ~Y" ...........
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<br />OFFJCECOPY
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