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MARION COUNTY BUILDING INSPECTION <br />.,,~ENC~T4DR BLDG. NO. 2~5 <br />22(~ HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-$147 <br />CODE-A-PHONE 4:30 RM. - 8;00 A,M, <br /> <br />DATE: 10/09/89 TIME: 10:50:15a <br /> DAVIS. DAN IAL <br /> <br />CONSTRUCTION TYPE: <br /> <br />CATEGORY: r a' <br /> RES I DENT I AL ~ <br /> <br />OCCUPANCY: <br /> <br /> 11041ARNDT RD NE <br />AURORA OR 9?002 <br /> <br />MARION COUNTY NO <br /> <br />OCCUPANT LOAD: <br /> <br /> NO OF BEDROOMS: <br /> <br />SAME <br />678-1056 <br />PHONE: <br /> <br />BLOCK: <br /> <br />240 714 <br /> <br />171360. <br /> <br /> SITE NUMBER: 8564 <br /> VALUAT I ON .' <br /> <br />38 <br />SF NO NO <br /> <br />MAP: <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLIOATZON NO: <br /> <br />CONTRACTOR. NO. <br />DAVIS, DANIAL <br />,SAME <br />878-1056 <br />PHONE: <br /> <br />9019486 <br /> <br />ITEN <br />REPAIR-MAJOR <br /> <br />WATER SUPPLY: PW <br />TEST HOLE~3 READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRA~N FIELD LINES: <br />SEPTIC TANK PUMPED: <br />~REVIOUS NO. BEDROOMS: <br /> <br /> ' ' 'i' :: .... QUANTITY ANIOUNT <br /> ,,, 1 $80.00 <br /> ES", <br /> $o,oo <br />THIS RECEIPT $80.00 <br /> <br />BALANCE DUE, , ' $0.00 <br /> <br />PAYEE: DAVIS, DANIAL , ,,RECEIPT NO: 20675 <br />RECEIVED BY: c] ~ , " ',,, :'~YPEi: :CA CHECK ~t: 0 <br />............. s.__ ---~~,-m'-,~-'--;~---'-~' ] ~: ::,]-u, ' - ..................... <br />SEE ATTACHED ~MENT <br /> <br />~ THIS IS NOT A PE~IT. P~ ~ERE ~E <br />~LL~ING ~ST BE )~T TO ~ ~AT <br />ALL NEC~RY IN~TI~ <br /> <br /> ' ' ~I~ J:~R~iSoICTI~: BY DATE <br />PL~ REVIEW: BY D~TE _ <br />RE~R~; D~iNFIELD REPAIR;'R~843 <br /> <br /> <br />