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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLOC, NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE; 588~5147 B;OO - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> DETR OR 9734-2 <br /> <br />: MAILING ADDRESS: <br /> <br /> 9e0 SALE~ HEigHTS AV $ <br /> SRLE~ OR <br /> PHONE= 37~-636[ <br /> <br /> P~IT OR ~IC~TI~ Nfl: ' <br /> <br />CONTRACTOR~ NO. <br /> <br />i CONTRACT CITY: UGB: j OCCUPANT LOAD; <br />,DETROIT NO <br /> <br /> ,' CJ.,£STER <br /> <br /> ' STTE NIIi~ER: <br />{ VALUATION: <br /> <br />{ NO <br /> <br />|.WATER SUPPLYt OW <br />J TEST HOLES READY: <br />J SITE EVALUATION NOMBER: <br /> EXI~TIN~ TANK BIZEt <br />i EXISTING DRA~N FIEL~ LINES~ <br /> <br /> JUEDEN. BERNARD & DE]~BIE ; SEPTIC TANK PUMPED; <br /> ?~ SALEH HEIGHTS AY S ..=" ".": ....... ' :'--'. "t P~EVtOUS'NO:' <br /> SALEM~ OE <br /> PHONE: 371-6361 J '. <br /> , ,.: ':'.."...'. ,. ,,.. J <br /> ........... ...........~=---,,1~- ~-:,,,ZT,.~,,. ......... .- .... ~-~-"- ...................... <br /> ITEM OUANTZTY AMOUNT <br /> AUTHORZZATION HOTIC[ - ;F~;'.,VI-SZT., "' '" '" 'r ' ''"' 1 <br /> :' .' ' ':','" ~ ' ' '; ' ''TOTAL ~SSESSED' FEES <br /> ;:.'.. ' "- ":', _/..L'.:..~: ~{ ,::. ~T~S';~ECEIPT:, ,v,.-.' ;.' <br /> "' · ":,~ ~" :' · ..... ,,, ,.,'"'~:~L~CE:.~': ,.' .. <br /> PAYEE. -- ~ .- ..... ~: .............. .....,.,,: .......... INVOZCE <br /> RECEIVED BY: ~ =~.~',' '"-~ '":'":= -: .... ":, ........ : TYPE~ CHECK $: <br />....................... ...... ........................... <br /> <br />CONSTRUCTION FAZLS TO HE~T ALL;"REQ~REMENTB'~'.:8~ATE' 'LAWn':AND MARION COUNTY BUIL~IH~ AN~ <br />ZONING OR~INANCEs~ THIS PEEMZT:",S~LE ~OME;.NULL AND <br /> <br />REHARKS: ~S: AU W/VISIT '".. ...... ," <br /> <br />OFF[CE COPY <br /> <br /> <br />