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MARION COUNTY BUILDING INSPECTION <br />SEN/~,~OR'~LOG, NO, 225 <br />220'HIGH STRf=ET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4,30 PM - 800 AM <br /> <br />DAT'E t 06/06/89 TIME: <br /> 8AKE¢~. ALLEN <br /> <br />0ATEQORY ~, <br /> RESIDENTTAb ,~ <br /> <br />OCCUPANCY <br /> <br /> 7751 8ISHOP RD <br /> AUNSV I LLE <br /> <br />USE OF BUILDING <br /> <br />OR 97325 <br /> <br />SE <br /> <br />MARION COUNTY NO <br /> <br />OCCUPANT LOA¢) <br /> <br /> NO OF BEOROOM~ <br /> <br />2~42 TURNER RD SE <br />SALEN 97302 <br />PHONE: 362-9485 <br /> <br />152 721= <br /> <br />3O <br /> <br /> SITE NUMBER: 7148 <br /> VALUATION: <br /> <br />8S 1N SA <br />SF YES NO <br /> <br />MAp <br /> <br />TYPE: ON=SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: 15617 <br /> <br />CONTRACTOR. NO. <br />BAKER, ALLEN <br />3442 TURNER RD SE <br />SALEM 97302 <br />PHONE: 362-9485 <br /> <br />WATER SUPPLY: F~ <br />TEST HOLES READY: NO <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE~ <br />EXISTING DRAIN~FIELO LINES: <br />SEPTIC TANK PUMPED= <br />PREVIOUS NO. BEDR'O0fcCS: <br /> <br />ITEN QUANTITY <br />REPAIR -MAJOR 1 <br /> <br />TOTAL ASSESSED ,FEES <br />PREVIQUS RECEIPTS <br />THIS RECEIPT <br /> <br />BA[J~OE DUE <br /> <br />PAYEE: , :: :RECEIPT NO; <br />RECEIVED BY: PR ............ ~_: : : "P(PE: , CHECK ~. <br />SEE ATTACHED DOCUMENT FOR 'REQUIREMENTS:OF ON~sI:TE 8~: S~T~+ <br />m ~[$ I8 A,VALID ~iT ~ <br /> <br />Z~IN6 0~I~, ~ZS <br /> <br />AJvK;XJNT <br /> SBO,O0 <br /> <br /> ~80.00 <br /> 80.00 <br /> $o~oo <br /> $o.oo <br /> <br /> -,:XP~,360 .DAYS ~ i ~ I~E~UE DATE. , IF <br />JIRE;I~Ei¢I"8 ,OF'STATE ImNt~' A~D,,~ION ~ BUILDING ~iD <br /> ~/~ID. VOID. <br /> <br />RENARKS~ R~¢7494 r4A,JOR REPAIR . bio SE REQUIRED (REFUND SE)/~£ <br />DONALD E. NOODLE'Y, MARION CC~NTY BUILDING OFFICIAL / 8Y <br /> <br />FO~M '~ MC 15-S8 REV H/~6 OFFICE COPY <br /> <br /> <br />