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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 558-5147 <br />CODE-A-PHONE 4:30 P.M. - 8:00 A,M, <br /> <br />Other <br /> <br />MAILING ADCRESS: <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> i f'~ L6T: [CAT,SORT: <br /> ] c..,. CONt4ERCI AL <br />i ~ONSTRUCT~ON TY~'. ', sCCUPANCY: <br /> <br />97002 [ i <br /> MARIO~. COUNTY ,,, I NO <br /> <br />SUBDIVISION: <br /> <br /> SANE <br /> <br /> PHONE: <br /> <br />LOT: <br /> <br /> SITE NUIViB ER = 1075 <br /> VALUAT ION ~ <br />aI.OCK; iSECTION: iTGWNSHIP: MAP: <br /> <br /> 2 4$ ,,J ']~ i I.R 3 <br /> <br /> 3.97000 , AC NO NO <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERiVlIT OR APPLICATION NO-* <br /> <br />CONTRACTOR, NO. <br />HENITT, DEl-BERT & JOYCE <br /> <br />PHONE: <br /> <br />8046 <br /> <br />HATER SUPPLY: PN <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOf4S: <br /> <br /> ITEM <br />CAPPING FILL <br />SITE EVAL. - FIRST 1000 GAL <br /> <br />DSF <br /> <br />QUANTITY AMOUNT <br />1 $280.00 <br />1 $165.00 <br /> <br />PAID August. 31, 1988 ~.¢4664 ¢2¢2t ~, ~r~ ..... ,.' *'-. "B'~:'DU E'.~ ~*~¢rTHIsPREVIousTOTAL., ,'I~ok.RECEIpTA"'~SlB~ED, FEB,., ~.,:-., REOEI PTS... -" $215230'005445'00505.' 0000 <br /> <br />PAYEE: ¢~/ RECEIPT NO: <br />RECEIVED BY~ C~ ~ .......... TYPE: CHECK <br /> <br />SEE ATTACHED DOCt,JNENT FOR REOUIRENENTS OF O~-$ITE SENAGE .SYSTElVl. <br /> <br />N01]~ l'rlIS DOES NOT ~ OR IMPLy PBRMI~ION TO BJILD ,,ON THIS PAi~EL+ PLAI~INS AND <br />CONSTRUCTION I:~RI~IITS I~l~T SE OBTAINED 8EPORE BUILDING OR SEPTIC 'rN~TALL&TION BERING. <br /> <br />REMARKS: SITE EVAL E:[¢9815 WAREHSE <br /> <br />DONALD E. NOODLEY. MARION COUNTY BUILDING OFFICIAL / 8Y <br /> <br />F. ORM # MC 15.56 REV e/8~ OFFICE COPY <br /> <br /> <br />