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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 PM - 8;00 A M <br /> <br /> I ha~e read and ag~-{(~ the'ier~ns ~tated on t~e reverse <br /> <br />©.ATE.' 07/2~/89 TIME: 3:51 .'40p <br /> <br /> DETROIT RANGER STATION <br /> <br />SIGNATURE OF APPLICANT <br /> DATE ........ <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYPE <br /> <br />OCCUPANCY <br /> <br />0E~RO I ~ <br /> <br />M.POST :~48 N. SANTiAN HNY <br /> OR 9?342 <br /> <br />CONTRACT CITY UGB <br />MARION COUNTY NO <br /> <br />OCCUPANT LOAD <br /> <br />MAILING ADDRESS <br /> <br />SUBDIVISION <br /> <br />DETRQIT RANGER 0ISTR'~CT <br />hiC ~ BOX 320 MILl.. CITY 97380 <br />PHONE: 854--3388 <br /> <br />100.000 <br /> <br /> SITE NUIVY8 ER = 2518 <br /> VALUATZON~ <br /> RANGE ZONE <br /> <br />10 5W TC <br />AC NO NO <br /> <br />NO OF BEDROOMS <br /> <br />MAP <br /> <br />FYP'E: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO:: 17725 <br /> <br />CONTFLACTOR, NO. <br />DETROI'I RANGER STATION <br />DETROIT RANGER O~STRiCT <br />HC 80 BOX 320 ~I[LL. CITY <br />PHONE: 854--:~366 <br /> <br />WATER StJPPLY: PW <br />TEST HOLES READY: <br />SITE EVALdATION NUMBER: <br />E. XZSTING TANK SIZE; <br />EXISTING DRAIN FiEL~ LINES; <br />SEPTIC TANK PU~PED; <br />PREVIOUS NO- BEDROOMS= <br /> <br />]' TEIq QU ANT i TY AMOUNT <br />REP~,iR -- ~NOR n $55.00 <br /> <br /> TOTAL ASS~SED FEES ~ <br /> ~IS RECEIPT $0.00 <br /> <br /> BALANCE ~E $0.00 <br /> <br />PAYEE: RECEIPT NO: <br />~ECE~vED BY: CL TYPE; CHECK ~ <br /> <br />~ T ~ P ~ I T I F <br /> <br />L.}OqA O E. NOODLEY, ~'IARION COUNTY BUILDING O??~C]~AL / BY ......................._~ <br /> <br />FOr~ ~' MO is-se ~Ev ~l,~, OFF]CE CO~Y <br /> <br /> <br />