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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 />Other. <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br />06/18,/90 f' I~tE: 13.'59;55 TAX LOT CATEGORY <br />E I"f EL. ~RK 75300-550 <br /> <br />RESIOENIIAL <br /> <br /> 5700 HUSKEY tJ~E <br /> AUIVlSVILLE <br />USE OF BUILDING <br /> <br />OR 9?925 <br /> <br /> CONTRACT CITY UGB OC('tIP~NT I CA0 <br />~RiON COUN1Y NO N0 0~' ~0~,)0MS <br /> <br /> (--~' $1]E NUIV~BER: 9789 <br />588-9505 <br /> VALUAr ! QN: <br /> <br />WIDTH IJbPIH <br /> <br />Af~EA '~ UNIIS 8S IHhbG LOT 2[A~ CORNbR AR <br /> 3. AC YES YES <br /> <br />49 <br /> <br />PERMIT OR APPLtCAI~ON NO: <br /> <br />F,.%~TRACEOR, NO. <br />ErrEL, MARK <br /> <br />PHONE: 688-9606 <br /> <br />9024948 <br /> <br />WAIER~$UPPLY: PW <br />rEST HOLES REAOY: <br />$IIE ~ALUATI~ NUMBER: <br />~ISr~N6 'r~K <br />~JSTZNG D~N F~ELO <br />SEPTIC F~K <br />PREVI~S NO. <br /> <br />iIEM <br /> <br />TOTAL /NSSE,'SSED FEES <br />PREVIOUS RECEIPTS <br />1HI3 RECEIPT <br /> <br />OUANtlIY AMOUN1 <br /> 1 $110.00 <br /> <br /> $110.00 <br /> $o.oo <br /> $110~00 <br /> <br /> (.8.~LANOE DUE $0. oo <br /> PA,.Y, EE: EfrEL, IVlARK ",-.t~_"~ ~., .RECEIPI~' NO*. '26404 <br /> <br /> THIS IS N~ A PE~IT. ~18 A~LI~Ti~ ~T ~ ~ A R~i~ P~ ~ERE THE <br />~L~[NG ~T BE ~TEO. iT [~ THE R~[~[LJTY OF THE AP~[~T TO ~ THAT <br /> <br />PLAN RP¥IEW: BY.__~,,,~.,, ........ <br />REf4ARF~5: 5,1ANDARO $Y~I EM <br /> <br />R~3503 <br /> <br />CiFY JURi~DICI'[ON: BY ........... DArE .......... <br /> <br />OFFICE COPY <br /> <br /> <br />