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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: ]1/01/69 TIME: 11:17:35~ <br />ow.~n: NICHOL, DOUGLAS & MAURITA <br /> <br /> 8489 NILL CREEK RD <br /> AU~VI LLE OR 97325 <br /> <br />MAILING ADORES~: <br /> <br /> 924 NORTH DOUGLAS <br /> STAYTON. OR. 9?383 <br /> PHONE: ?59-7248 <br /> <br />TYPE; ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION <br /> <br />CONTRACTOR, NO. 36356 <br />HONES FOR TODAY <br />5496 72ND AVE SE <br />SALFJ~I, OREGON 97301 <br />PHONE: 585-8084 <br /> <br />R~IDENTIAL <br /> <br /> SITE NUr~ER~ 5497 <br /> VALUATION ~ <br /> TOWNSHIP: :' RANG'~ ................................. ZONE: ;'blXP: .... <br /> 26 SS 2W , AR 51 <br /> IRREG. LOT: I CORNER' <br />31.0000 u~Ys: AC NO ,' NO <br /> <br /> NATER ~PPLY = <br /> T~T HOL~ R~DY: <br /> 14787 SITE ~A~AT[~ NU~ER: 1115~ <br /> ~ISTING T~K SIZE: <br /> ~[STING D~IN FIELD LIN~= <br /> SEPTIC T~K ~NPED: <br /> PREVI~S NO. ~ED~: <br /> <br /> ITEM <br />SAND FILTER <br /> <br />PAYEE: <br />RECEIVED BY: PB <br /> <br />QOANTITY 1 <br /> <br />TOTAL A._ASEE~ED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />~NT <br /> $300.00 <br /> <br /> ~300,00 <br /> 300.00 <br /> $0~00 <br /> <br /> $o.oo <br /> <br /> RECEIPT NO: <br /> TYPE: CHECK <br /> <br />SEE ATTACHED DOCUMENT FOR REQU;[F{EMENTS OF ON-SITE SE~IAGE SYSTEN. <br /> <br />* ~IS IS A VALID ~IT * ~IS P~IT ~PI~ 360 ~ F~ I~ I~E ~TE. IF <br />~T~CTI~ FAI~ TO ~ ALL ~L~ ~ ~ATE ~ ~D ~RI~ ~ ~ILDI~ ~O <br />Z~ING ORDIN~C~. ~IS P~IT NULL ~D <br /> <br />RE,N~RKS: SAND FILTER R~t?331 <br /> <br />DONALD E. NOODLE'Y, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />~:O~U" U~; l'~ F~'~ n~v em' OFFICE COPY <br /> <br /> <br />