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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG. NO, <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 />I am a registere~ builder OR ( ) the authorized <br />of a roglstote~ bull~et, <br />The work will be ~Otm~ by 3 r~lstered Doilder. <br />Other ...... <br /> <br />,,... FI,JSON~ DJ~,~,~OH~). & [V[.L__Y_~ <br />! ~tTU~ AODRES,~'. <br /> <br /> 0184 GOLF CLUB <br />AUHSVtLLE <br /> <br />TAX LOT: ~ .......... ~'~: ................. <br />CON~TRU~TJO N TYP~: .... r~,~¥~A~¥= ................. <br /> <br />~]I'TE HUI~]I~R I 93-~4H78 <br />VALUATION~ <br /> <br /> / NO ~ I NO <br /> <br />WATER SUPPLY= PW <br />TEST. HOLE$,REA~Yt . <br />SITE EVALUATION <br /> <br />~ EXISTIflC ··TANK S~ZE: <br />CONTR~CTOR. NO. i ,, ,EXISTING .])RAIN FrELD <br />FUSON, ~ESMOND & EVELYN~ ~..~=~.=~.., <br /> <br />PHONE: 749-2968 ~ <br /> <br /> ITEH <br />:: AUTHORIZATION NOTIO~ <br /> <br /> PAYEE= F'U80~ <br /> RECEIVE~ BY. DH2 <br /> ,SEE ATTACHEO <br /> *THIS IS NOT 'A <br />FOLLOWING MUST BE <br />ALL ,NECESSARY <br /> <br />Q~ANTItY AMOUNT <br /> $160.00 <br /> <br />$160.00 <br /> $8.80 <br />$160.0~ <br /> <br />· TYPE: CK CHECK ~: 2496 <br /> <br />REVIE# PROCESS WHERE THE <br /> TO ASSURE THAT <br /> <br />PLAN <br /> REV'fEW= <br /> BY <br />REMARKS. EXISTING HOU8" ''~ ' M/ '?. :. <br /> <br />rO~M ~ ~c ~r~r~ ,~'. ~ OFFICE COPY <br /> <br /> <br />