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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 4:30 P.M. - 8;00 A.M. <br /> <br />of a registered builder. <br /> <br />Other <br /> <br />I have read and agree to the terms stated on the reverse side of <br /> <br />DATE: 11/20/89 TIME= 16:20:16 <br />OWNER: <br /> COAKLEY, RODNEY & IVt~RiA <br /> <br /> 5785 ,E~IAI~ Hr'Ct' -- <br />AUNSVI LLE OR 97325 <br /> <br />u~E OF BUILDING <br /> <br />PHONE: 581-18"/2 <br /> <br />LOT: SLOCK SECTIOi~ TOWNSHIP <br />18 <br />WIDTH' DEPrH *R~'. UNITS: <br /> 900000 <br /> 1 <br /> <br />TAX LOT: <br /> 56055~000 <br /> <br /> CONTRACT CIT'~ JGE <br /> <br />r~'[AR 1'ON COUNTY NO <br /> <br /> SITE NU~ER: 3193 <br /> VALUATION: <br /> <br /> RANGE ZONE: <br />8S 1N AR <br /> CORNEF <br />AC mn~g,~o: NO NO <br /> <br />C^TEGORY: <br /> <br /> RESIDENTIAL <br /> <br />1 <br /> <br />,MAP: <br /> <br />TYPE: ON-SITE SE',NA6E <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />COAKLEY, RODNEY & MARTA <br />SAME <br /> <br />PHONE.- 581~1872 <br /> <br />9020378 <br /> <br />NATES SUPPLY: PW <br />TE~T HOLES RF--AI~YY.~ <br />SITE EVALUATION NUMBER: <br />EXISTfNG TANK SIZE: 1000 <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: 4-11-88 <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM <br />ANNUAL EVAL. - TENP OR HIOE~P I~1 <br /> <br />QUANTITY A~4OUNT <br /> I $60~00 <br /> <br /> TOTAL ~ESSED FEES '0 00 $60. O0 <br /> PREAIIOJS :RECEIPTS <br /> THZS RECEIPT: <br /> sALANCE BJE $o. oo <br />PAYEE: ~KL~, ~ & ~RIA RECEI~ NO: '612 <br />R~EZVED BY: CL ~E: CK ~ECK ~= 5259 <br />SEE A~A~ED ~M~T FOR RE~[~ ~Z~E S~E ~T~+ <br /> <br />REMARKS: HID~ RENENAL R;l$7967 <br /> <br /> ' otd-- '-- <br /> <br />CITY JURISDICTION: 8Y DATE <br />~'~,j pa~r~'~- ~,~. ~ <br /> <br />~-"O~M * MO If~ G¢[ ~EV (~/87 OFFICE COPY <br /> <br /> <br />