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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG 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-?904 <br /> <br />Other <br /> <br />have read arid agree to the terms stated or] the reverse 81d¢ of <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br />owaL~4' E: I 1/07/90 T I~E z 9: 04: ~4 TAX LOT CATEGORY <br /> <br />SITUS AOORE~r.,~,L~N,'' CLYDE : CONSYBUCTION TYPE AOB?2?--gO0 'O00gPANCY <br /> RE~i Db_l~ 1 <br /> <br />~50SB 3RD 5f NE <br />~ OR .97002 <br />USE OF BUILDING AURORA NO NO OF BEDROOMS <br /> <br /> P'HON~:: 682-1783 SiIE NUIV~N: t1661 <br /> <br />LOT BLOCK 'SECTION TOWNSHIP RANV~'.~LUA f I f''''~t: ,ZONE <br /> <br />MAP <br /> <br />WA'IER ,fCUPPLY: CW <br /> HOLES READY: <br /> fgYALUAFiON NUMBER: 85-618 <br /> EXISIiNG TANK SIZE: <br /> 6X~SFING O~IN FiELO Lih~-5~ <br /> lC rANK ~P~D: <br />PR~S NO. 8BO~: <br /> <br />EM GUAN 11 TY Af~XJN i <br /> ON-SI fE SYSFE'N 1 $/85 fig <br /> <br />PAYEE: LEtO~AN, CLYOB <br /> <br />fOTAL ~E~ED FEES <br />PR~V[f.~,JS RECEIPf'S <br />H4iS RECEIPt <br /> <br />$165.00 <br /> so.g0 <br /> <br />~NVOICE NO: 3021] <br /> <br /> RECEIVED WY: PR ................................................. TYPE: ~N CHECK ~: 0 <br /> SEE A'[ fA(;HED DOCU~gNf FOR REQUiRE~ENTS OF ON-SITE SEWAGE <br /> <br />FOLLONiNG ~¢~JST BE C~IPLETED. iF iS TH~ RESPONSiBiLIFY OF THE APPLIOAN] [O ~RE ]HAY <br />ALL N~C[~x,SARY INFORMATION HAS BEEN PROVIDED+ <br /> <br />Ci"fY JUR~SOJCFiON~ 8Y OATE <br /> <br />4/90 OFFICE COPY <br /> <br /> <br />