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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 />have read and agree to the terme Stated or1 the reverse <br /> <br />SIGNATURE OF APPLICANT: .................. <br /> [DATE: ......... <br /> <br /> 554 5W EASTNAN PARK WAY <br /> GRE~HAN. OR <br /> PHONEt <br /> <br />WIDTH: <br /> <br />SlrTE I~ER= 94--82984 <br />VALUATION= <br /> <br />TYPE: OH-SITE SEg~AGE : <br /> <br />PER~iT OR APPLICATIOH NO= 56998 <br />CONTR~CTOE~ NO.' <br />S~ENGEL. MARY ...... ..: .... <br />§~4 S~ ERSTHAN PARK ~RY",~ ......... : <br />GRESHAH. OR 97~8~ : : <br />PHONE: 666-~84~ <br /> <br /> ~ATER SUPPLY= PW <br /> TEST HOLES READY= <br /> ~ITE EVALUATION NUMDER= <br /> EXiSTINI; TANK SIZE= 10~0 <br />EXISTING DRA~N FIELD LINES= 300 <br />L.SEE.TIC,:~ANK,EUMPED= FOR~ <br />PREVIOU~ NO. BEDROOMS: <br /> <br /> ITEM " : · .... QUANTITY AMOUNT <br /> EXISTIHG ~YBTE~ EVAL. R~T'4'"i"L..',i,:' ':,',:',,: .. 1 $~60~00 <br /> <br /> ...... ~OTA~'.ASS£SSE~ FEE~ sZ4e ge <br /> · "],, ' ....... .,~REV,Z~U~.RE~EIP~S <br /> - ,., ', ?.:?-::'::::."-::--.~: ~.U~:"~C*~:',,, ;i, i ~ ~* ~o. o~ <br /> <br /> '" ':"""' '"'~""':'" RECEIPT <br /> R~CEZVED aY: CL '~.:! ';~'._'~,"~"~'."~'~;'5,'~'"2,:~'.',~'.:~£':. :.',.~:=',, ,,,' '. "" '~' :TYPE: C~EC~ ~=' 0 <br /> SEE ATTACHE..O:.NEHT F0" <br />· THIS I$ A VALID PERH~T ~:':'~I~'PF-~IT,'iD~P~'".~'~S"FROH ITS Z~UE <br />CONSTRU~TZON FAILS TO HEE~ :~L~:'~E~NENT~.'0~ STATE, LAWS. AND HARION DOU~TY <br />ZONING ORD~NAN~ES~ TNID PERMIT, gHAL~'.'~E~OHE:'HULL:~D'VoZD.' ', <br /> .......:..~ ,~,, ...... .~ - ....:...:.... ,,, <br /> <br /> FROM <br /> ~XISTTN <br />DONALD E. WOODLEY, MARION COUNTY ~UYLDING OFFICIAL / DY <br /> <br />OFF~CE COPY <br /> <br /> <br />