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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NQ, 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 /> OA'fE: 08/21/91 TIME: 14:53..58 <br />OWNER: TAX LOT: '~ bATEGOF~V; <br /> O'/W HOMES iNC RESIDENTIAL <br /> <br /> ~ i <br /> ~70~ A~E~ ~Y ~ ~ CONTRACT CITY: ,, UGB: ~O0OUPANT LOAD: <br /> ~RO~ OR 97002 <br /> AU~ [ NO ~ <br /> <br />24';'55 ~ 65TH <br />TUALAT IN 9'1062 <br />PHONE: <br /> <br />LOT: <br /> <br />11 <br /> <br /> SITE NUF~ER: 13712 <br /> VALUAT i ON .' <br /> <br />............................ <br /> UNITS; [ IRREG. LOT: )CORNER: <br /> ~F' ~ NO ~ Y~ <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPL[CA'r[ON NO: <br /> <br />CON TPACTOR, NO. <br />DTH HO~ INC <br />24755 ~ 65TH <br />TUALAI' 1N 970152 <br />PHONE: <br /> <br />34195 <br /> <br />HATER .~UPPLY: CAI <br />'T~T HOLES READY.* <br />SiTE E~¢ALUA'~'iQN NUI~¢BER: A~E~ <br />~1STiNG T~K <br />~ts'rtN~ D~iN FIELD LIN~: <br />SEPTIC T'~K <br />PR~i~ NO~ 8ED~: <br /> <br /> i I'E~ <br />STANDARD ON-51'FE SYS'FFJ~ <br /> <br /> qUANT I '¥'Y A~UN T <br /> 1 $165.o(} <br /> <br />OT:AL A.~E,~ED FEP~ $165 ~ 00 <br />PR~I~S R~Ei'PTS $165.00 <br />THIS RECEIPT $0. O0 <br /> <br />BA~CE ~E $0.00 <br /> <br />PAYEE: iNVOICE NO: <br />RECEIVED BY: c'l TYPE: CHECK <br /> <br />SEE A'f"FACHED DOCUME:NI" FOR RE(~UiREMENTS OF ~-SlTE SEWAGE <br /> <br />RENARKS: SEPTIC SYSTEM h~ <br />DONALD E. NOODLEY, NARION COUNTY BUiLDiNG OFFICIAL / BY ......................................................................................................~ <br /> <br />¢o~, ~c ~s-~ ~v..~ OFFICE COPY <br /> <br /> <br />