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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 <br />CODE-A-PHONE 4:80 P,M. - 8:00 A.M. <br /> <br /> Other <br /> <br /> DATE: 06/06/88 TIME: 9;38:22a <br />OWNER: <br /> MC MILLAN, ELBOW & DORIS <br /> <br />RESIDENTIAL <br /> <br /> 11621 IRISH GLEN SE ~ ! ~(~TF~C~'~I~y; ;6~ANT LOAD: <br /> OR 97 25 & , i j <br />AUMSVI LLE ~2¢~ <br /> ~BIO~.~NZY....J NO ~ 2 <br /> <br />11971 IRI~ GLEN <br />~VILLE OR 97325 <br />~E: 789-5602 SITE NU~ER: 1636 <br /> VACATION: <br /> i~E~'~ ~TOWNSHIP: ,; RANG~: ZONE: i MAP: <br /> I , <br /> 28 8~ 1N ~ . <br /> * AR 48 <br /> <br /> , 2.00000 , AC ~ NO [ NO <br /> <br />LOT: BLOCK: <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: 9008896 <br /> <br />CONTRACTOR, NO. <br />MC MILL.AN, ELDON & DORIS <br />11971 IRISH GLEN <br />AUMSVILLE OR 97325 <br />PHONE: 769-5602 <br /> <br />WATER SUPPLY: PW <br />TEST HOLE~ READY: <br />SITE EVALUATION NUMBER: 5772 <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. 8EOROC¢~S= <br /> <br /> ITEM <br />SE < 8 MONTHS OLD <br /> <br /> QUANTITY <br /> 1 <br /> <br />TOTAL; ~EE~ED FEES <br />PREVIOUS RECEIPTS <br />THZS RECEIPT <br /> <br />BALANCE DUE <br /> <br />AMOUNT <br /> $110.00 <br /> <br /> $110.00 <br /> $o.oo <br /> $110.00 <br /> <br /> $0,00 <br /> <br />PAYEEs MC MILLAN, ELDON & DORIS ~ RECEIPT NO' 9563 <br />~E_CEIVED BY: pb .... .__=~¢~.____ _ TYPE:' CK .'CHECK ~; 2234 <br /> <br />* ~IS IS ~ A ~IT. ~lS APPLI~TI~ ~ST ~ ~ A R~I~ P~ ~ERE ~E <br />FOLL~ING ~ST BE ~PL~ED. IT IS ~E R~8'ILI~ OF ~E APPLI~T TO ~RE ~T <br />ALL N~ IN~TI~ H~ BE~ ~ID~2 <br /> <br />PL~ R~[EW; BY__~__ DATE~"~-~__ CItY JURISDICTION: BY ........ DATE ......... <br />R~R~: N~ SEPTIC R~6318 <br /> <br />r'o~,~ · ~c ,!~-,~e ney ~/~¢ OFFICE COPY <br /> <br /> <br />