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MARION COUNTY BUILDING INSPECTION <br />SENATOR I~LDG NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 PM * 8;00 A M- <br /> <br /> have mad and'" "-----agree'm'the'term~ ~tated an the raverse <br /> <br />0Al'E: 07/28/89 TI~E~ 3~51:40p <br /> <br /> D~IT ~GER STAT[~ <br /> <br />M,POST :~48 N. SANTIAN HWY <br /> OR 97342 <br /> <br />MARIC~,I COUNTY NO <br /> <br />DETF~)iT RANGER 0ISTR~CT <br />HC ~ 8OX 320 t~LL CITY 97360 <br />PHONE: 854-3388 <br /> <br /> ~ITE NUNSER: <br /> VALUATION <br /> <br /> 3 10 <br />100. 000 AC NO <br /> <br />FATEGOYZY <br /> <br />OCOU~NCY <br /> <br /> 2518 <br /> <br /> TO 104 <br />NO <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PEF~IT OR APPLICATICN NO: 1772~ <br /> <br />CONTRACTOR NO. <br />DET~)tF P.N',IGER STATION <br />~ETROIT RAN~£~ DISTRICT <br />HC 80 BOX 320 MILL CITY <br />¢>HONE: 8~4'"3366 <br /> <br />HATER SLJPPLY: ,mN <br />TE~T HOLES R[ADY: <br />SZTE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EX[ST[NG DRA~N FZELD L[NF-~; <br />S~PTIC TANK PtJ~PED: <br />P~EV~OUS NO. SEOROO¢4S: <br /> <br /> IT~ ~Ti~ ~NT <br />RE~IR - MINOR ! $55.00 <br /> <br /> $55,00 <br /> THZS RECEIPT $0.00 <br /> <br /> BALANCE 13UE $0. O0 <br /> <br />PAYEE: RECEIPT NO: <br />RECEIVED BY~ CL ~E: .. ~ECK ~: <br /> <br /> V P Z ~ I .- T I F <br /> ~D <br /> <br />L'/.~INAL.O E. ~FOODLEY, ~RI~ ~N~ BUiLOING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />