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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 228 <br />220 HIGH STREET NE <br />,SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P.M. - 8:00 A,M, <br /> <br /> The work will b~ performed by a registered builder. <br /> <br />DATE: 08/19/82 TIME; 10:58:28a <br /> <br /> HACKMONTH , GARY <br /> <br />CATEGORY: <br /> <br />OCCUPANCY: <br /> <br />COMMERICAL <br /> <br /> 14623 E~iLg-?4 RD <br />AUROI;b~ OR <br /> <br /> 97002 , <br /> MARION COUNTY <br /> <br /> 3 <br /> r £~E~'EiViS~5~: ..... <br /> <br /> ' SITE NUMBER: 1960 <br /> i VALUAT I ON: <br />SECTION; :TOWNSHIP: i RANGE: ! ,ZONE: , MAP: <br /> i <br /> 12 ~ 4S 1W ~ EFU : <br /> AR~A: UNITS: Ii IRREG. LOT: NO JCORr'CN~: <br /> <br />SA~E <br /> <br />LOT: BLOCK; <br /> <br />WIDTH: :DEPTH; <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PER~4IT OR APPLICATION NO: '3295 <br /> <br />CONTRACTOR, NO. 49455 <br />CANDY EXCAVATING <br />122 NE 4~'4 <br />CANBY, OREGOn'4 9?002 <br />PHONE: 266-2792 <br /> <br />~tATER ,?¢JPPLY: ~ <br />TEST HOLF..S READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TcaC4K SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK ~MPED; <br />PR~I~S NO. 8EDR~ <br /> <br /> .( TEM QUANT I TY AMOUNT <br />REPAIR 1 $35.00 <br /> <br /> : TOTAL ~ESSED FEES $35.00 <br /> . { ' PR~-VIO0$ RECEIPTS $35.00 <br /> THIS RECEIPT $0.00 <br /> <br /> ' sAL NcE DUE , $o. 00 <br /> <br />PAYEE: .: .', ~,:.RECEZPT <br />RECEIVED BY: el ~E~ <br />SEE ATTACHED ~NENT FOR RE~[R~ENTS <br /> <br /> BUILDING <br /> ~N~ <br />~CTI~ FAI~ TO ~ AL~,,RE~I~S,OF ~STATE;'~ ~D ~D <br /> <br />REMARk: SR ' : <br /> <br />DONALD E. NOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />,'ORM ,, MC ,~-,~ R~V ~/~7 OFFICE COPY <br /> <br /> <br />