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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: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />DATE: 1'1/'I3/~1 TIME: 'fBt12:2'l <br /> ~BU TLER, DAVID <br /> <br />RES1 DEN 7' IAL. <br /> <br /> 99?8 STAY'FON ROAD SE <br />AU~SV I LLE OR 9?'325 <br /> <br />DON't RAC~ CI'"Y: tJ~S; <br />IVlAR.[ ON COUNTY NO <br /> <br />ADDRESS: SU BDIVlSI6N: <br /> <br /> PHONE; 769w-'(822 <br /> <br />LOT. BLOCK: <br /> <br />WIDTH: ObPrH: <br /> <br />:OCOUPANT LOAD: <br /> <br />NO OF BtUROOMS: <br /> <br /> Si't'E NUNIBER: 14869 <br /> VALUATION: <br />S~CTION: TOWNSHIP; RANGE: ZONE; <br /> <br /> 18 9S 1W EF'U <br />AREA: UN(TS; iRRE~.LOT: CORNE~: <br /> 127. AC YE~: NO <br /> <br />MAR: <br /> <br /> fYPE: ©N-SiTE SEWAGE <br /> <br />PERN~T OR APPLiCA'T'tON NO: <br /> <br />CON'~RAC'f'OR, NO. <br />BUTLER, DAVID <br /> <br />WATER ~UPPLY: PW <br />'rEs'r HOLES READY= /~' <br />SiTE EVALUATION NUMBER: <br />EXIS'f~NG TANK SIZE: <br />EXiSTiNG DRA~N FIELD L~NES: <br />SEP'f'ZC 'lANK PUMPED~ <br />PREVIOU~ NO, BEDR~}~S: <br /> <br /> PHONE: 769~7822 <br /> <br /> ~ TOTAL A~SE~ED FEES $85 O0 <br /> ~'~,.,) PREYZOUS RECEIP'T'S <br /> %y~ 'f'HZ$ RECEIPT <br />  AL.ANCE DDE <br /> PAYEE: 8U'f'LER, DAVID ~ ~ RECEIPT Nm- '~'?~ <br /> RECEIVED BY: DM2 . ~ 2 TYPE: CK CHECK =- <br /> <br /> ~E~ ATTACHED f,,,,v.,~U~EN'f' FOR RE~UtRE~EN'f'S OF ON-8~TE SE~ASE <br /> <br /> THIS i~ NOT A PE~IT. TH[~ APPLICATi~ ~ST ~ TH~ A R~t~ P~ ~ERE THE <br />P~LL~[NG ~ST 8E ~PLETEO+ iT I~ THE R~iB[L[TY OF THE APPLI~T TO ~RE THAT <br />.ALL N~ARY INPO~TI~ H~ BE~ <br /> <br />OFFICE COPY <br /> <br /> <br />