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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 - 4:30 <br />24. HOUR CODE-A-PHONE: 588-7904 <br /> <br />this document. <br /> <br />DATE: ....................................... <br /> <br />PERHIT Ol~ ~PPLIC~TION N0= <br /> <br />~O~D. W~¥NE , · ' ' · <br />R'~LH~D LYON RS ,~6~..&~2~ ' <br />1~ NE ~EVERLY DR NEWPORT 97~...' <br />PHOHE: 749-..223~ .: <br /> <br />rATER SUPPLY= PW <br /> EST HQLES RE~DY: YES <br />SIT[ EVALUATION NUM~E~: <br />EXISTIN6 TANK SIZE: <br />.EXISTIN~ ,~RA~.N FIELD L~NES~ <br />SEPTIC TANK PD~P~D~ <br />PREVIOUS NO, ~EDROOMS: <br /> <br /> SIT~ EVALUATIOH~ EA. I $225,00 <br /> $225. e~ <br /> $225.0~ <br /> <br /> PAYEE~ WOOD~ ~YN[. [~{ '~' :"ii"":"'"'"'}. "" '' · '," RECEIPT <br /> REC~ZVE9 DY: ~o .~_~]~,~_ :Z~L~" ':': '"'.. ;". J'" .. ' TYPE: <br /> <br />NOTE: THIS ~OE$ NOT GR~h(T..:OR'~MPEY. PEEHI,~S.ION TO ~OI. ED"ON THIS P~RCEL. PLaNNiNG AND <br />ON~TI~UCT~ON PERHI?S HUST ~r, O~TAINED ~EF'ORE ~UILDIN6 OR ~EPI'IC INSTALLATION ~ECIN~. <br /> <br /> PLAN REVIEW~ ~'( C~TY JURISDICTION: ~Y <br /> <br /> R[~ARKS~ SE~TH~RL~DY/H~NOR P~R~TIOHING N[~S ASTOR HAP'ANB ~TREE]' NAME <br /> <br />¢~, ~,~-~ ~v, ~ OFFICE COPY <br /> <br /> <br />