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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 558-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />Other. <br /> <br /> DATE: 02/19/91 TIME; 14:18:02 <br />OWNER: <br /> scoTT S, <br /> <br /> 10323 ~ULER RD <br /> <br />USE OF DUILD~NG: <br /> <br />:'TAX LOT: <br /> 00700 <br /> <br /> , co~'rRAcr c~T¥: , UGLY: <br />OR 97002 <br /> ~AAR!oN COUNTY i NQ <br /> <br />CAT~GORY; <br /> RES I DEN'1' I AL <br /> <br />SUBOIVISION; <br /> <br />:5;AME <br /> 644-8304 <br />PHONE; 678-1822 <br /> <br />LOT: ,8LOCK: <br /> <br />WIDTH: OEPIH: <br /> <br />SECTION: ; TOWNSH P <br /> 6 4S <br />AREA: , UNITS; <br /> 5.14 AC <br /> <br /> SITE NU~ER: 11050 <br /> VALUAT iCH: <br />I RANG~: i ZONE; <br /> 1W <br /> <br /> NO : NO <br /> <br />OCCUPANT LOAO: <br /> <br />NO OF BEDROOMS <br /> <br />MAP: <br /> <br />TYPE: CH-SiTE SEWAGE <br /> <br />PERIVi~,I' OR APPLICATICH NO: 30121 <br /> <br />OoN'rRAc'roR, NO. <br />CCOKCtAN, <br />SAblE <br /> 644-8304 <br />PHCHE: 678-1822 <br /> <br />WATER ,SUPPLY= PH <br />'rE,..~T HOLE5 READY: <br />SiTE EVALUATiCH NU~:~ER: <br />E~iSTINS 'F~K SIZE: <br />~iSI'ING D~iN FIELD LINES: <br />SEPTIC T~K ~PEO: <br />PREVI~S NO. 8ED~ <br /> <br /> I TEIVl (:~JAN 'r I 'FY AMOUNT <br />ALTERA'f' ICH 1 $145~ O0 <br /> <br />PAYEE: <br />RECEIVED BY: c"l <br /> <br />TOTAL AL~xSE~53ED FEES <br />PREVIOUS RECEIPTS <br />THiS RE~CEiPT <br /> <br />~145.00 <br />145.00 <br /> $o+o0 <br /> <br />BALANCE DUE $0.00 <br /> <br /> RECEIPT NO: <br /> ......................... ,.__ ..... ............................... 'TYPE.* CHECK ~;: 0 <br /> SEE A'f"T'ACHED OOCUI~E~IT FOR REQUIREMENTS OF ~=SITE S~E $~I'EM. <br /> <br />* THiS I~ A VALID P~IT * TH~S P~IT ~[R~ 360 ~'F~ IT~ l~E ~TE. 1F <br />~ST~CTI~ FAIG TO ~ ~L ~I~TS OF STATE ~ ~D ~I~ ~TY 8UILDJ~ ~D <br />Z~IN~ OROIN~C~, TH15 P~IT ~A~ B~E NULL ~D ~iD, <br /> <br />REMARKS: SEPTIC REPAIR R~3159 <br />DONALD E. ~91ODLEY, MARicH COUNTY BUILDING OFFICIAL / BY ............................ ~ ..................................................... <br /> <br />FOR~ ~ ~c 15-5~ ~EV. 4/90 OFFICE COPY <br /> <br /> <br />