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MARION COUNTY BUILDING INSPECTION <br />SFNATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />Other <br /> <br />DATE: <br /> <br />owBC~TE: 10/23/90 TIME: 17J15=57 <br />S~TUS AOD~E~LLICAN' BiLL <br /> <br />RE~i DEN T I AL_ <br /> <br /> coNfRACT CITY: <br /> 115 BUTTE ST -- : <br />DETROIT OR 97342 <br /> <br />2 <br /> <br /> P.O. BOX 484 <br /> DETROIT, OR 97342 <br /> PHONE: 854-3626 <br /> <br />LOT: BLOCK: <br /> <br /> SiTE NUIVBERt 11378 <br />SECTION~ T~SHIP:' RAI~LIATIONtZONE: MAP: <br /> <br />WIDTH: DEPTH: AREA~ 1 ]U~IT~: 30 TRRSG LOT: 5~ CORNER: F~5 105 <br /> 50 100 5goo+ ,SF NO NO <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PER~II'I OR APPLICATION NO: 27128 <br /> <br />CONTRACTOR, NO. <br />MILLiCAN, BiLL <br />P.O, BOX 484 <br />DETROIT, OR 97342 <br />PHONE: 854-3626 <br /> <br />~[ATER EAJPPLY: C~ <br />TI~ST HOLCA READY: <br />SITE E~/ALUATiON NUIV~ER: <br />E~ISTiNG T~K ~iZE~ 500 <br />~ISTiNG D~IN FIELD LIN~ <br />~EP'rlC T~K ~RPED: 9-10-90 <br /> <br /> 1TP3~4 QUANTITY AhlOUN T <br /> AU'fHORIZAI'iC~N NOTICE - FLD. VISIT 1 $105,00 <br /> TOTAL ~ED FE~ ~105.00 <br /> PR~I~ RE~EI PTS $105.00 <br /> THiS ~CE[PT $0. <br /> BA~CE ~E $0.00 <br /> PAYEE: [NVOi~ NO~ <br /> R~EIVED BY: CE2 .........................=~=-? ................................................. TYPEt ~ECK ~: 0 <br /> SEE A'f'f~EO ~MEN'F FOR REdIReCTS <br /> <br />~T~CTI~ FA[~ TO ~EET A~ <br />Z~[~ O~JN~C~, THIS PE~IT. ~LL <br /> <br />RErflARKS: AUTH <br /> <br />DONALD E~ I~tODLE~, ¢4ARION C(.~JN'FY BUILDING OFFiCiAL / BY <br /> <br /> OFFICE COPY <br />FORM # MC 15,56 REV, 4/90 <br /> <br /> <br />