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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 325 <br />220 HIGH STREET NE <br /> SALEM, OREGON 9'7301 <br /> <br /> PHONE ~88-5147 <br />CODE-A-PHONE 4:30 P.M, - 8:00 A,M, <br /> <br />DATE,' 01/19/89 TINE: 1:47.-23p <br /> <br />UN KNO~'N CL <br /> <br /> 7?5? AIRUS RD SE <br />ADN~VILLE OR 97325 <br /> <br />NARION COUNTY NO 3 <br /> <br />SA~E <br /> <br />PH~;: 749-2419 <br /> <br /> 30 <br /> <br /> 1.00000 <br /> <br /> SITE NUI~ER: 2510 <br /> VALUATION: <br /> <br />$S IN SA <br />AC NO <br /> <br />TYPE: ON-SITE ~ENAGE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />O3NTI:IN~TOR, NO. <br />WAOE~ORTH, SCOTT <br /> <br />PHONE ~ 749-2419 <br /> <br />13531 <br /> <br />NATER SUPPLy.+ PN <br />TEST HOLES Ik~EADY; <br />SITE ~ALUATI~ NU~ER~ <br />~ISTING T~K 8IZE~ <br />~IST'IN~..:D~,I~, F~ELD LIN~: <br />SEPTIC T~K ~PED: ~1~-87 <br />PR~[~ NO. BED~': 2 <br /> <br />ANNUAL EVAL. - TE~P OR HD~HP ,/V~ ............ <br /> <br /> .. .... ; ...... <br /> . ' ....... ,' "?":""PR~I~,, RECEIPTS <br /> <br /> BA~OE','~E :...,, $0. oo <br /> <br />R~ZVED BY= cl ,~h.' '~ .... ' ' '~ ~":,"~=';" ','. "~,~ <br /> <br />(~JANTI3~F ANOUNT <br /> 1 $ o.oo <br /> <br /> ~60.00 <br /> 60.00 <br /> $0.00 <br /> <br />~RK,~: ANNUAL HARDSHIP IN~P~6713 <br />DCNALD E. !~)ODLEY. NATION COUNTY 8UILOING OFFICIAL / BY <br /> <br />~on~ ~, ~c ~-~ ~,~, ,/~ OFFICE COPY <br /> <br /> <br />