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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO 225 <br />220 HIGH STREET NE <br /> SALEM1 OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4 30 PM - 8::00 AM <br /> <br />~E~ 03/08/89 TIME: 11:13:24a <br />~TUS,Aor~I~DS' PETER <br /> <br />ccc PANC~ RES I DENT'[ AL <br /> <br /> 19065 BE. AVER LANE <br />AURORA OR 97002 <br /> <br />NE <br /> <br /> CONTRACT CITY <br /> <br />~IAR ION COUNTY NO <br /> <br />'3 <br /> <br />SITE NUMBER: 6689 <br />Nt~.~J AT ION: <br /> <br />~S IRR~G LOT 1~*~ COMNEH <br /> <br />NO NO <br /> <br />TYPE: ON-SITE $~NAGE <br />PER~iT OR APPLICATION NO: 14380 <br /> <br />~, PETER <br /> <br />PHONE: 678-5654 <br /> <br /> ITEM <br />,NNNUAL L:~/AL. - TE]~IP OR HECDHD ~ <br /> <br />PAYEE: ROSS, PETER <br /> <br />HATER SUPPLY: <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE= <br />EXISTING DPJkIN FIELD <br />SEPTIC TANK PUMPED.~ 5-23~88 <br />PREVIOUS NO. 8EDECO~: <br /> <br />QUANTITY AJ~OUNT <br /> 1 $60.00 <br /> <br />TOTAL ASS~ED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$60.00 <br /> $0~00 <br />$60.00 <br /> <br />BALANCE DUE. $0.00 <br /> <br />RECEIPT NO: 15252 <br /> <br />RECEIVED BYt CL ~- TYPE: CK CHECK ~t: 0 <br />SEE ATTACHED DC~T, UMENT FOR REQUIRENENT3 OF <br /> <br />* ~IS IS A VALID PE~IT ~ ~IS PE~IT ~PI~ 360 ~ F~ ITS I~E DATE. IF <br />~CTI~ FAI~ TO.~ ALL ~l~ OF ~ATE ~ ~D~I~ ~.ILDIN~ ~D <br />Z~l. ORD[N~O~, ~IT ~LL B~LL ~O ~lO. <br /> <br />RE~I,ARKS: HD~P AUTH R~5995 /~ <br />[DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY ....................._~ <br /> <br />FORM ~ MO IZ%-~I~ ~ ~l'~ OFFICE, COPY <br /> <br /> <br />