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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />¢'20 HIGH STREET NE <br /> SALI::M, OREGON 97301 <br /> <br /> PHONE $88-5147 <br />CODE-A-PHONE 4:30 P,M. - 8:00 A.M. <br /> <br />DATE: 04/04/B8 TIME: 12:33:04p <br />OWNER: BOCK. HENRY <br /> <br /> 110 SOUTH TUMBLE ST <br />DETROIT OR <br /> <br />530 ELECTRIC ST <br />,SALEM 97302 <br />PHONE: 585-1713 <br /> <br />LOT BLOCK: i BECTION: <br /> 12 15 <br /> <br /> fAX LOT,. ( CA'r~O~¥; RES I DENT i AL <br /> i CoNsTRUCTION TYPE: F O08LJPANCY; <br /> <br /> CONTRACT CITY'. ~ UG~: ~OCCUPANT LOAD'. <br />~ET~IT ~ NO ~ <br /> <br /> H~v~ON O <br /> <br /> i STTE NUMBER: 4009 <br /> ~ VALUATION: <br /> <br />iTOWNBHIP~ ~ RANGE; I ZONE: I MAP: <br /> <br />!uN,+~; ,R.EG. ~,OT; NO ilCOR~: <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERr,4~-F OR APPLICATION NO: ?534 <br /> <br />CZ)NT'P, ACTOR. NO. <br />BOCK, HENRY <br />690 ELECTRIC ST <br />,%&LEM 97302 <br />PHONE: 585-1713 <br /> <br />MATER SUPPLY; CW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER; <br />EXISTING TANK SIZE: <br />EXISTING DP~iN FIELD LINES: <br />SEPTIC T,,~C4K PUMPED~ NEVER <br />PREVIOUS NO. BEDROOMS: 1 <br /> <br /> I TEN QUANT I Tv AIvlOUNT <br />ALTERATION , $100. O0 <br /> <br /> TH EE T <br /> $0.00 <br /> <br /> , iaA CF ,UJ' :, ' , $0.00 <br /> <br />PAYEE; V <br /> , ,IN OICE NO. <br />RECEIVED BY~ C~ ~ ;~PE:" ,~ CHECK ~: <br /> <br />$ ~IS I~A VALID PE~IT ~ ITS I~E ~TE. IF <br />~CTI~ FAI~ TO ME~ ~0 ~[~ ~N~ ~ILO[NG ~D <br />Z~iNG ORBIN~C~, ~IS PE~IT <br /> <br />REMARKS: ALTERATION - SEEPAGE TR.BNCH ' <br />0ONAL. D E, ~,E)OOLEY, MARION COUNTY BUILdiNG OFFICIAL:/ BY <br /> <br /> <br />