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MARION COUNTY BUILDING INSPECTION <br />SENATOR RLDG NO 225 <br />220 HiGH STREET NE <br /> SALEM1 OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 430 P.M - 6 00 A M <br /> <br /> Other <br /> <br />SATE: 05/05/89 TIME: 1 <br /> <br /> HOWARD RELOCATION GROUP <br /> <br />155 PAT'TON ST <br />DETROZT <br /> <br />OR <br /> <br />MID STATE REALTY/GARY STANFORDS <br />BOX DETROIT, OR 97342 <br />PHONE: 854-338? <br /> <br />DETROIT NO <br /> <br />SITE NUMBER: <br /> VALUATION: <br /> <br />7178 <br /> <br />c^~o*~ RESIDENTIAL <br />OCCUPANOV <br /> <br />TOWN~HIP <br /> <br />UNITS <br /> <br />10 5E <br /> <br />SF IRREG LOT NO OO~NeRNO <br /> <br />105 <br /> <br />PEI~4IT OR APPLICATION NO: 9015709 <br /> <br />CONTP~NCTOR, NO. <br />HOWARD RELOCATION GROUP <br />MID STATE RE. ALTY/C-~Ry ST~FORDS <br />BOX DETROIT, OR 97342 <br />PHONE: 854~3387 <br /> <br />TEST HOLE~ READY: <br />S~TE EWALUATION <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: 4-21-89 <br />PREVIOUS NO. BEDEOON~; <br /> <br /> ITEM <br />EXISTING SYSTEM EVAL. RPT. <br /> <br />PAYEE: HOWARD RELOCATION GROUP ,: ..... : <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />7HIS RECEIPT <br /> <br />BALANCE DUE <br /> <br /> QUANTITY AMOUNT <br /> 1 $100.00 <br /> <br /> $100.00 <br /> $0-00 <br /> $100.00 <br /> <br />INVOICE NO: 18695 <br /> <br />RECEIVED DY: cl ,: ': TYPE,-' IN CHECK ~: 0 <br />SEE ATTACHED DOCUMENT FOR R~RENENT$-OF ON-SITE G~GE GY~TD~I. <br />* THIS IS NOT A PE.~IT. ~A:fREV[EH PI~F. SS ~E ~E <br /> <br />FOLILONING MUST BE COMPLETED.! <br />ALL NECE~ INFORDIATION <br /> <br />PlJ~¢4 REVIEW: <br /> <br />REhlARK~: LOAN <br /> <br />¢o.,~ ,¢ MC ~.~* ~v ~,~s OFFICE COPY <br /> <br /> <br />