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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 />I am a registered builder OR ( ) the authorized representative <br /> <br />89;~9 SHAW SQUARE RD SE <br /> <br />SANE <br /> <br />PHONE: 585-2210 <br /> <br />~-T~r ~¥','7- .... ]'--U-~-¢~ <br /> .........j-i-~¥-~-~b-~iJ~"--i: <br /> <br /> SITE NUMBER.- 93-~3~84 <br /> VALUATION: <br /> <br />TYPE: OH-SITE SEWAGE WATER SUPPLY: PW. <br /> TEST HOLES READY. <br />PERHITOR APPLICATIDH HO: 49741 SITEEVALUATIDN NUM~ER: <br /> EXISTING TANK SIZE: 1808 <br />CONTRAETOR~ NO. EXtSTING DRAIN FIELD LINES: <br />SANEWIt'LIAMS~ FRANKLIN D..,: PREVIOUS NO. BEDROOMS:~/7/~ <br />PHONE: 585-2210 <br /> <br /> ITEN ~!: .... ?!~:~ii¢ :;~: QUANTITY <br />EXISTING SYSTEM EVAL. 1 <br /> <br />458 <br /> <br /> PAYEE: <br /> RECEIVED BY: PB <br /> <br /> SEE ATTACHE~ ~OCUHENT <br /> <br /> ~ THIS iS A VALID <br />CONSTRUCTIOH FAILS TO <br />ZONIHG ORDINANCES~ <br /> <br />AMOIJN'r <br /> $168.88 <br /> <br />$160.00 <br />$160.00 <br /> $0.08 <br /> <br /> $0,00 <br /> <br /> RECEIPT NO: <br /> TYPE: CHECK ~: 0 <br /> <br /> ITS ISSUE DATE. IF <br />ID HARION COONI'Y BUILDING AND <br /> <br />REMARKS: <br /> <br />· DONALD E. <br /> <br />SS/ESE OKAY TO P. ARTIT:~ON. EFFLUENT. PUMP ~I0 REP,'iR AREA. <br /> <br /> OFFICE COPY <br /> <br /> <br />