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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 />Other <br /> <br />I have read and agree to the terms stated on the reverse side of <br />this document· <br /> <br />07/20/88 'T,'}ME: 9:24:04a TAX LOT: <br />MC L&REN, <br /> <br /> 13208 DONALD RD NE iOONTRACTClTY: <br /> AURORA OR 97002 <br /> NO <br />'USE OF BUILDING~ <br /> <br />~ES I DENT I AL - <br /> <br /> HERITAGE REAL ESTATE <br /> 923 SN 4TH AVE, CANSY 97013 <br /> PHONE.- 266-?333 i S;~TE NUMBER; 4949 <br /> · O <br /> VALUATI .~: .......................... <br />LOT: 8L(}CK /SECTION: TOWNSHIP: i RANGE ' ZONE; ~-~'~ <br /> <br />TYPE: ON-SITE SENAGE <br />PERMIT OR APPLICATION NO; 9009823 <br /> <br />CONTRACTOR, NO. <br /> LAREN, NCaA, RD LORENCE <br />HERITAGE REAL ESTATE <br />92:3 SW 4TH AVE, CANBY 9701 <br />PHONE: 266-?333 <br /> <br />WATER SUPPLY: PM <br />TEST HOLES, READY: <br />SITE EVALUATION NUNE~ER: NO RECORD <br />FD4ISTING TANK SIZE: ?50 <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPEB: ?/19/88 <br />PREVIOUS NO. BEDKaDOIVE~: <br /> <br /> ITEM QUANT I TY AMOUNT <br /> ~ $100,00 <br />EXISTING SYSTEM EVAL. RPT. . . <br /> <br /> ~OTAL ~S~ED FEES $100,00 <br /> . PREVIOUS RECEIPTS $0.0O <br /> THIS RECEIPT $100.00 <br /> <br />PAYEE, MC LAREN, HONARD & FLoRENCE"~' ~A~ANCE <br /> DUE <br /> $0.00 <br /> <br /> RECEIPT NO: 10507 <br /> <br />SEE ATTACHED D~U~ENT FOR <br /> <br />PLAN R~IEN: BY ........... DATE ' CITY JURISDICTION: 8Y DATE <br />R~ARK5: SEPTIC ~AL,, FOR LOAN <br /> <br />H:mM ,, MC ~s-~t; ,~v s/e? OFFICE COPY <br /> <br /> <br />