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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 <br />CODE-A-PHONE 4:30 P,M. - 8:00 A.M, <br /> <br /> ~hl~; document. <br /> <br />DATE: 04/29/88 TIME: 11:06:42a <br /> <br /> HEWITT. OELDERT & JOYCE <br /> <br />AL~ARNDT OR 97002 <br /> RD <br /> <br />PHONE: <br /> <br />TYPE: C~I-SITE SE'I~t~GE <br /> <br />PEF;~ViIT OR APPL[CATICt, I NO; <br /> <br />CC~qTRACTOR. NO. <br />HD4[TT. DELSERT & JOYCE <br />~ME <br /> <br />PHC~E_, <br /> <br />,~,IGNATURE OF A~*PLICANT: ............... <br /> <br />DATEr .................. <br /> <br />SITE NU~t~E~: 1075 <br />VALUATION: <br /> <br />; 1N ; E~ 3 <br /> <br />8046 <br /> <br />klATER DJ PPLY .~ <br />TE~T HOL~ READY: <br />SITE EVALUATION NUMBER: <br />~I~T[NG T~K S~ZE: <br />~IGTING D~N FIELD <br />SEPTIC T~K <br />PRiZeS NO. ~ED~: <br /> <br /> ITF~ ~JANTffTY AMOJNT <br />SE < 6 MONTM$ OLD . <br />SITE ~ALUATI~, FZ~T ~T " 1 $165,00 <br /> <br /> PR~ ~ ,~CE ~p~s $ 230. o 0 <br /> ~S ~IPT $0.00 <br /> ~CE,<"~ ' $0. O0 <br />PAYEE: RECEIPT NO: <br />RECEIVED DY: cn .... <br /> <br />~= ~]S ~ NOT ~T <br /> <br />~ALD E. ~DL~. ~E[~ ~NTY BUiLDiNG ~F[C[AL / BY <br /> <br /> <br />