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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 />I am a registered builder OR the au hor zed represen a ye <br />of a registered builder, <br />The work Will be performed by a registered builder, <br />Other . <br /> <br /> DATE: 01128/94 TINE: 11:1§:28 <br /> HATHAWAY, PHILIP <br /> <br /> 195~8 BUTTEVILLE RD NE <br /> <br /> SAME <br /> ~566 ~UTTEV~LLE R~ :HA~N RES ~TE ~BER: <br /> PHONE: 678~857 VALUATION: <br /> <br />OCCUPANT LOAD~ <br /> <br />TYPE~ ON-SITE 5EBAGE I WATER SUPPLY <br /> I TEST HOLES READY= <br />PERHIT OR APPLICATION NO= ~2128: ~ S[TE EVALUATION NUM~ER: <br /> I EXISTINg TANK SIZE: <br />CONTRACTOR, NO. I EXISTING DRAIN FIELD LINES: <br />HATHAWAY, PHILIP I SEPTIC TANK PUMPED: 1-?-¢0 <br />SAME <br />1~555 BUTTEVILLE RD :~A='IN RES ~:'~. <br />PHONE: &78-1857 ii~ <br /> <br /> ITEM .;'::: QUANTITY AHSUNT <br />ANNUAL EVAL. - TENP <br /> <br /> PAYEE: <br /> RECEIVED BY: PB <br /> <br /> SEE ATTACHED DOCUMENT <br /> <br /> ~ THIS iS A VALID <br />CONSTRUCTION FALLS TO <br />ZONIN~ ORDINANCES, THISi! <br /> <br />$90.08 <br />$90.00 <br /> $0.00 <br /> <br />$0.00 <br /> <br /> RECEIPT NO: <br />TYPE: CHECK ~: 0 <br /> <br /> ITS ISSUE DATE. iF <br />MARION COUNTY BUILDING ANI) <br /> <br />REMARKS: HDSP <br /> <br />DONALD E. WOODLEY, <br /> <br />OFFICE COPY <br /> <br /> <br />