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MARION COUNTY BUILDING INSPECTION <br />SENATOR I~LDG, NO, 225 <br />220 HIGH STREET NE <br />$/kE. EM, i~REGON 97301 <br /> <br /> PHONE 58.8-5",47 <br /> CODE-A-PHONE 4:;30 RM, - 8:00 A.M. <br /> <br />Other <br /> <br /> DATE: 06/20/89 TIME: <br />OWNER <br /> ~ANDY, RICHARD <br /> <br />3:54=07p <br /> <br />RESI DENTIAI~ ;~ <br /> <br /> 9t94 SHANS~3JARERD SE <br />AU~SVZLLE OR 97325 <br /> <br />MAILING ADdReSS: <br /> <br />MARION COUN'FY NO <br /> su~iv~mo~ 3 <br /> <br />SAME <br /> <br />PHONE= 363-6890 ,,~ <br /> <br /> BLOCK: <br /> <br />8.90000 <br /> <br /> SITE NUMBER: 7652 <br /> VAUJAT I ON: <br /> <br />8S 2N AR <br />AC NO 'NO <br /> <br />MAP: <br /> <br /> 49 <br /> <br />TYPE: ON-SITE SENAGE: <br /> <br />PER~IT OR APPLICATION NO: <br /> <br />'CONTRACTOR, NO. <br />~DY, RICHARD <br />,S~4E <br /> <br />~ONE= 363-6690 ~ <br /> <br /> [TEN <br />AUTHORIZATION NOTICE - FLD; <br /> <br />PAYEE: :~N~.DY, RICHARD <br />RECEI.VED BY.- cl <br /> <br />SEE ATTACHED DOCUMENT '~R <br /> <br />~ ~T ~E ,~L~ <br />~L N~, [N~T[~ <br /> <br />PLAN REVIEN: <br /> <br />REMARKS: AUTH R:~t?157 <br /> <br />9016882 <br /> <br />MATER ,~~JPPLY: PN <br /> TE~T HOLES READY: <br />SITE EVALUATION NUF~ER'. <br />EXISTING T~K SIZE: <br />~.I.ST[NG:,D~ FIELD LINES: <br />SEPTIC T~K ~MPED: GIV~ ~ <br />PR~I~S NO. 8ED~: ~ <br /> <br />-- --'~QU~TI TY <br /> 1 <br /> <br /> FEE~' <br /> P,E. CEI PTS <br />tiS, :RECEIPT <br /> <br />MALANCE, DUE. <br /> <br /> NO: <br />CHECK <br /> <br /> AMOUNT <br /> $1o5.oo <br /> <br /> $105.00 <br /> $0,00 <br /> $105.00 <br /> <br /> $o.oo <br /> <br />17954 <br />2481 <br /> <br />TO ~RE THAT <br /> <br />FO~ ~ Mc ~s-~ ~EV.-~ OFFICE COPY <br /> <br /> <br />