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MARION COUNTY BUILDING INSPECTION <br />SENATOR BL.DG, 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 />I am performing worJ< O,q a I:)rOD~¢ly I oW~l ~r O¢¢uJ)y, _~).. ~~ ~~ <br /> <br />i OWNE~ATE.~ 2~/~L5./9.4 Z[~E.:-..&.2Z-24:&2 ............ <br /> 6ItLMORE~ DAVID <br /> <br /> 1114~ OAK MEADOW LN , NE <br /> AURORA O~ 97002'..'. "" <br /> <br />US~ OF J~UILD~NG; J <br /> <br /> ',,2 <br /> PHONE:AURORA'2~75t SCHULTZoR 770~2RD NE~,.E~r'./Z i VALUATION:SITE NUICi~R= ......................................... 94-~389~ <br /> <br />: IO~H: ~ AR~A: J UNI~; ' I IRRO& LOT: <br /> <br />TYPE: ~SZTE ~E t WATER SUPPLY <br /> ~ '~ TEST HOLES. READY= YES <br />PEANUT OR ~TION Ne: ~6~'~ , S~TE EVALUaTZON NUMBER: <br />CONTRAC~OR.~ NO, '~ EXISTING TANK <br />6ZLLMORE. ~AV~ ~' ~ . <br /> __~ ........................ ;_,.._SEPTIC T~K <br /> <br />PHONE: ;, I <br /> <br /> ITEM u "-" '" ..................... <br />SITE EVALUATION, FIRST -: ~UANTITY AMOUNT <br /> 1 <br /> <br /> v., $265.00 <br /> ,' $0 00 <br /> <br />PAYEE= 6ILL,ORE, <br />RECEIVED ~Y. CL <br /> <br />ii RECEIPT &~237 <br /> <br />NOTE: THIS DOES NOT <br />ONSTRUCTION PERMITS <br /> PLAN REVIEW: BY <br /> <br /> REHARKS: SE TH:READY <br /> <br />PARCEL. PLANNING AND <br />iNSTALLATION SEGINS. <br /> BY ........ ~ATE ............... <br /> <br />OFFICE COPY <br /> <br /> <br />