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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SAL[::M, OREGON 97301 <br /> <br /> PHONE; 5884147 8:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />'"~i~"4'~R~ss: ........... , ~'~?N'u~Y~N WP~: ................... <br /> <br />PERHZT OR APPLZCATZON <br /> <br />~ONTR~CTOR. <br />SDUTHERLAND~ CENE <br /> <br />PHONE: 67S-5744 <br /> <br />~TER SUPPLY: <br />TEST HOLES READY. <br />SITE EVALUATION NUHDER~ <br />EXISTING TAflK SIZE= <br />EXISTING DRAZfl FIELD LIHE~: <br />SEPTIC TANK PUHPED~ <br />PREVIOUS HO. ~EDROOMS: <br /> <br /> ITEM ~UANTITY AMOUNT <br /> AUTHORIZATZON NOTICE - FLD. VISIT 1 $1&0,0~ <br /> · TOTAL ASSESSE~'FEES $1&~.~0 <br /> " .' PREVIOUS RECEIPTS $0.~ <br /> · ' : TH[8 RECEIPT , $1~e. ee <br /> <br /> · .,,... ,,',:, ".~EANCE:'DUE' $e.00 <br /> AYEE, ~OUTHERL~H~= ~ENE ....... . .......;.',',,, ' ~ ' RECEIPT NO: 52701 <br /> RECEIVES ~Y= P~_~-_ .... ,~_~'~ '~'":__ '._~_.~__"2 '~_21_"'~ "' TYPE= CK CHECK ~= <br /> SEE ATTACHE:]) DOCUNENT FOR REGUIREHEHTS <br /> ~ THIS ~S NOT ~ PERHZT,~'....THZS'~PPLZb'~Oi~ HUST ~ T'rIRS~ ~ REWE# PROCESS #tlERE THE <br />FOLLQN~NG HUST ~E COHPLETg~% ':I,T:'ZS,TN£'.'RESPBNS~8~LZ~y'.DF THE APPL~£ANT TO ASSURE THAT <br />ALL NECESSARY ~NFORH~T~,ON'HAS"~£EH 'PROVIDED, ':".'.. ,',' ' <br /> <br /> PLAN REV~E~= ~Y ........... ~AT£ ............. CITY JURiSdiCTiON] ~Y ........ DATE <br /> RENRRKS: AUTN pf:N~. <br /> <br />FI~Y~M # MC 15-56 RLeV, 4j~O OFFICE COPY <br /> <br /> <br />