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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 />DATE: 09/28/88 TIME: 11;14:22,~ <br /> <br /> T'UDELA, JOAQU IN <br /> <br /> ?954 F4iLL CREEK RD SE <br />ALJ~4S¥ I L.L.E OR 9?325 <br /> <br /> RES;(OENT;~AL <br /> CONSTRUCTION ~P~i ' OCCUPANCY <br /> <br />MARION COUNTY NO I <br /> <br />: SUBDIVISION: <br /> <br />PHONE: 749-2108 <br /> <br />SITE NUMBER; 5524 <br />VALUAT I ON: <br /> <br /> !¥S~'A; ........................ !'~',~; ..... <br /> 2W EFU 51 <br /> mREG. LOT: YES '!c°m~: <br /> <br />TYPE: ON,-,SITE SEWAGE <br /> <br />PERf¢IZT OR APPLZCAT[ON NO~ <br /> <br />CONTRACTOR, NO_ <br />TUDELA, JOAQUIN <br /> <br />PBONE~ 749-2106 <br /> <br />11217 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: <br />SiTE EVALUATION NUNfBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOI'4S: <br /> <br />~TEM QUANTITY Ai~3UNT <br />REPAIR ~ M~JOR 1 <br /> <br /> TOTAL ASS~ED FEES $80 <br /> PREVIOUS RECEIPTS $80.00 <br /> THIS RECEJ:PT $0.00 <br /> BALANCE DUE ', $0,0C <br />PAYE~: RECETPT NO- <br />RECEIVED BY: c'~~ CHECK <br />S,_E ATTACHED DOCUiVlENT FOR REQ~JIREN1ENTS Q~- Ot',i-SZTE ~ID,~AGE SYSTEN. <br />;~ THIS IS A VALTD PER~IT * TH~S PEF~];T EXPTRES 360 DAYS FR01~ z:T$ ]I:,~suE DATE. ZF <br />CONSTRUCT'fON FA]I.~ TC~ ~4EET ALL REQU]RE~ENT,S OF ~TATE LAIRS AND t4ARzON COUNTY BUILDZNG <br />ZCNZNG ORDTNANCES, INTS PER~4IT SHALL <br /> <br />REMARKS~ £)RAINFIEL.,D REPAIR R~4878 <br /> <br />OQ/ALO E. NOODLEY, ~4ARION COUNTY BUILDING OFFICIAL / <br /> <br />rOR~ ,, ~C ~-':,~ ,SV.~/87 OFFICE COPY <br /> <br /> <br />