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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />2L~O HIGH STREET NE <br /> SALEM. OREGON 97301 <br /> <br /> PHCNE 588-5147 <br />CODE-A-PHONE 4:30 RM. - $ 00 A.M <br /> <br />AUGERS,. MAET ZN <br /> <br />40453-000 <br /> <br />RF~DSNT~A/ <br /> <br /> 21942 AIP, FC~T F~O <br />AURORA <br /> <br />OR ~7002 <br /> <br />NE <br /> <br />AURORA NO <br /> <br />OR 97002 <br />078-5520 <br /> <br />204 <br /> <br />sITE NUttiER: 6517 <br />VALUATI~: <br /> <br /> 1W R-.1 <br /> YES NO <br /> <br />TYPE: ON-SITE SEhiAGE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CCNTRACTOR, NO. <br />ALBERS, MARTIN <br />21872 AIRART RO NE <br />~, OR 97002 <br />~E: 678-5820 <br /> <br />13914 <br /> <br />WATE~ ~JPPLY: ON <br />T~T HOLES READY; <br />SITE ~VAU~TIC~ NUI~ER: <br />~ISTI~ T~K SIZE~ t000 <br />~ISTI~ D~IN FIELD L~N~ <br />~TIC T~K ~D: 2-~-89 <br />PR~I~ ~. eEOC: <br /> <br />375 <br /> <br /> ITEN qUANTITY AMOUNT <br />AUTHORIZATIC~ NOTICE - FLD. VISIT I $105.00 <br /> <br />TOTAL A~SEE~ED FEE~ <br />PREVIOU~ RECEZPTS <br />THIS RECEIPT <br /> <br />$105.00 <br />$105.00 <br /> $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: ~NVOICE NO: <br />R~CEIVED BY~ CL TYPE: CHECK <br /> <br />~: AUTH. CREATE PARTITIONING ~/~ <br />0QqALD ~. WOOOLEY, MARIOh COUNTY BUILDING OFFICIAL / BY .............. <br /> <br />~O~a ~ ~5.s~ n[~...a OFFICE COPY <br /> <br /> <br />