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MARION COUNTY BUILDING iNSPECTION <br />S~NATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALCM, OREGON 97301 <br /> <br />PHONE: 588-~147 8:00- 4:30 <br />HOUR'CODE-A-P 'lONE: 588-7904 <br /> <br />OATE; ..................... <br /> <br />~ HIEBACH~ ~RIE & CHA~ )~82~I-~ RESIdENTiaL <br />[ flUMSVILLE OR 97325 ~ARION COUNTY ~NO <br /> <br />DAY PHONE = CHAD 749-1822 <br /> <br />PHONE: 747-1926 <br /> <br />SITE NUtf~,E~: 94-~345'7 <br />VALUATION, <br /> <br /> aANGE: ......................................... ~ ZONE: ~M~i <br /> <br />.............................................. .'~& ,~._,8S. ....... ~.N ............... ! FFtl ........... ~1 ....... <br /> <br />.................................................] t 4.&;~ I nC iNO ~ NO <br /> <br /> TYPE= OH~I~ ~GE ~ATEE SUPPLY= P~ <br /> TE~T ~LES REA~Y: <br /> PEEHZT OR ~LICATION NO: 5~ SITE EVALUATION NUNBER: <br /> EXISTIN~ TANK SIZE: <br /> ~ONT~R~TO~ NO. ' EXISTZN~ D~IN FZEL~ LZNES~ <br /> ~IE~ACH~ COEZE & CH~ ~,~ ,~EPTZC T~NK <br /> 9~Y PHONE ~ CH~ 74~-1a2~ " ,' P~EV~'OUS"NO.' '~E~EO0~S~ 2 <br /> PNGNE~ 74~-l~2& : ..... <br /> <br /> .............. ~'- .... .' K .'"' .'. ' ,, - ........ ~ .............. <br /> ITER GUANTITY AMOUNT <br /> ~UTHO~ZZATION NOTICE - 'F~D;"~'V~S~. ~ ' ' 1 <br /> <br /> · ..:~.. ~ ; ,,,~REV~U~' RECE~PIS ~16B.B~ <br /> ...... -'-T~iS ..RECEiPt, ', ",, · · <br /> .',...",.::.: .. ,,....".~'. ..... ;.. ,~-,..,.........~.....i:; .:,.... . <br /> <br /> "- RECEIPT <br /> PAYEE= ,, ,,,,., . ..... <br /> REC[[VED ~Y= dm ~2~:~_~_'~:::: .... ··TYPE: CHECK t: <br /> ~Z;~;~;~;-;;~;;~-~;.. ~,,~.~;;~ .~;~F;~;~F;,~;~;: ....................... <br /> . ,s;azs zs a VALID ~a~f a".;',~Z8"~'-~l~'..~:"~y~ F~ ZT8 ISS~ ~TE. ZF - <br /> CON TRUCTION FAILS TO MEET.'.AEE"~E~UIEEMENTS,OF, STaTE'-LAUS: AND flARZOS COUNTY BUILDII,i~ AND <br /> ZONING OE~NANCES~ THIS PERNIT:'~AEE' ~EOONE' NULL AN~ ~o~,, , <br /> <br />REMARKS: : · <br /> <br />~ON~LD E. UOO'DL~Y! MARION COUNTY"~UiLDTN~ OFFTCTAL / <br /> <br />OFFICE COPY <br /> <br /> <br />