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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97;301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 558-7904 <br /> <br />o a registered builder, <br /> <br />Other <br /> <br />..HI,,. J ~ ~,~'. ,. 7 .................... CATEGORY; <br /> -~)NSTR(JCTION TYPE OCCUPANCY. <br /> <br /> tW~ '~7~2S ~ ~Cm~'~ .,~(~gl}~;~X. _. N.O ................. i ........................ <br /> <br />USE OF BUILD{NC. <br /> <br /> SITE NU~IBER: <br /> PK,.JNE:i 74 %'"2'5 fJ;~ VALUATION: <br /> <br />LOT' BLOCK: ~ECTION; TOWNSHIP'. RANGE. ~'zdk'E; ............ ~ ~X¢: .......... <br /> <br /> ~ 60R~ · , , <br /> ~ '--" ~'~ ............. ~- -5'1' ...... <br />W~DTH: 'BEPTH: ..... A¢'~~ ......... ¢~.j~¢ ~ l¥~ LOT: <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR~ <br />~CC]Y,; RI3NAi,,,D <br /> <br />F'HONE~', -' o q .... <br /> 74,- ....... ~ <br /> <br />9~47794 <br /> <br />WATER SUPPLY <br />'?EST HOLES READY: <br />SITE EVALUATION <br />EX:[STiNG TANK SIZE~ <br />EXISTING DRAIN FIELD LINES; <br />SEPTIC TANK PUHPE~; <br />PI~EYZOUS NO. <br /> <br /> .~. fLM QUANTITY AMOUNT <br /> AN(',iUAL, EVCd-. "" 'I'E5F' 8¢4 H~)SHP HH I $90,~8 <br /> <br /> TOTAL ASSESSED FEES $98.0~ <br /> . ,xEVI OUS EEL, ElF l S $8. ~8 <br /> TN:[S RECEIPT $9~,, ~6 <br /> : BALANCE I)UE $8.8~ <br /> PAYEE',: Pi._A~qNiNG DEP'TA[~T~ENT <br /> RECEZF'T NO: 5e~81 <br /> R~ ,-' c' , ,, ,~ <br /> <br />ALL , {(';ESOARY 7(, :'(; R4,,rrI ], '-:AS l(,i{E~,l PROVi~X{D. <br /> <br />C]:TY JURISI)tCT]JONr4 I:;Y ...................... DATE ............................ <br /> <br />~o.u # ~c ~-~ FtEV. ~ 0 F FI CE COPY <br /> <br /> <br />