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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO. 225 <br />220 H~GH 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 />ow~,[DA'f'E: 0~./26/91 TIME'~ 9:46.. 01 ' Y~x LOT: <br /> <br /> ~ ' ..... RES~ OEN'i <br /> ,~ .................... 90~5~5~ ~'0CCUPANC~: <br />SITUS ADORES~ARTY' PA:FRICK CONSTRUCTION TYP~: <br /> <br /> 305 ~K~CREST <br /> DEI'~ZT OR 97342 <br /> <br />5631C/¢3CADE S'I' <br />~'~' LiNN, OR 97068 <br />PHONE: 656-4557 <br /> <br />PATT~'-f <br /> <br /> SiTE NU~ER: 12775 <br /> <br />15390, ......................... NO. 4 ..... .y..~ <br /> <br />2 <br /> <br />TYPE: ON-SiTE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: 9031779 <br /> <br />OON'rRACTOR, NO. 36421 <br />KE¥1N'S BACKHOE SERVICE <br />P.O. BOX 465 <br />DE'f'RO[I', OREGON 9'1942 <br />PHONE: <br /> <br />WATER ,~UPPLY: OW <br />l'E~'f' HOLES READY: WiLL CALL <br />SiTE EVALUATION NUt4BER= <br />EXiSTiNG TANK SIZE: <br />PD([~'F~NG D~iN FIELD LIN~: <br />SEPI'iCT~K ~MPED: <br />PREV~ NO. B~D~ <br /> <br /> 1TEM <br />8E < 6 MONTHS OLD <br />SiTE EYALUA'FiON, FIN~'I <br /> <br /> Q~.J~TITY ~lC~JNf <br /> _o'r $ 75.o8 <br /> <br /> ~ ~ PREWI~S RECEIPTS $0.00 <br /> $285_00 <br /> ~ 'rH~S <br /> BA~CE <br /> <br />PAYEEt CAR'FY, PATriCK/ [NVOJCE NO= ~3554 <br />RECEIVED BY* PR%)1~,. <br /> fYPE~ <br /> IN <br /> ~ECK <br /> 0 <br /> <br /> ATTACHED ~M~I' FOR R~iR~T8 OF <br /> <br />NOTE: THIS DOE~ NOT .GRANT OR IMPLY PE~ISSION TO BUILD ~ THIS PANEL. P~ING ~D <br />~ST~CTI~ P~Z~ST BE ~TAIN~ BE~RE BUILDING OR SEPTIC I~TAL~TI~ B~INS. <br /> PL~ REVIEW BY~ ~TE ~/ Cf'FY"' JURISDJC'Fi~* BY DA"E <br /> R~RKS: SITE EVAL & SYST~ INSTAL~FI~ <br /> <br />Fa~u,~ uc ~-~ ~v. 4mo OF FICE COPY <br /> <br /> <br />