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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO_ 225 <br />~ HIGH STREET NE <br /> SALEM; OREGON 97301 <br /> <br /> PHONE <br /> CODE-A-PHONE 4'30 <br /> <br />°W~ATE; 05/08/39 TItlE: 10:$$:25a <br /> <br />s~u~ A~0HeSSHOPKINS, EDNARD/JACKSC~. JO/~ <br /> <br /> LOT <br /> <br />0ONSmUC~ ~Y,~ 55456--202 <br /> <br />RE~!~ )!DL:NT t Al <br /> <br /> 10514 LEVERNAN RD SE <br />AU~VI LL.E OR 97325 <br /> <br />~E: 393-1791 <br /> <br />$~TE NU~ER: 1603 <br />.~N~/ALUAT [ 0N = zo.~ <br /> <br />DEPTH <br /> <br />66000 ~ NOI NO <br /> <br />48 <br /> <br />TYPE: ON-5~TE SEWAGE <br /> <br />PERNIT OR APPLICATION NO: 9017983 <br /> <br />CONTRACTOR, NO. <br />HOPKINS, <br />4350 RI~E DR NE <br />~L~ 97303 <br />~: 393-1791 <br /> <br /> ITEM <br />AUTHORIZATION NOTICE - FLD. VISIT <br /> <br />~ATER E, UPPLY= I~ <br />TEST HOLES REAOY~ <br />SITE EVALUATION NUMBER= <br />EX~STING TANK '~IZE: 9000 <br />EX~$TING DRAIN F~ELD LINID$, <br />SEPTIC TANK PtJ~PED: 3/7/$~ <br />PREV~0U5 NO. BEDROOMS: <br /> <br /> ' f~TAL, AE.<5-~E:S~E~, FEES <br />. P, ,~EVIOUS RECEIPTS <br />· ' ,TH;[~; EDCEIPT <br /> <br />0UANTITY ~NT <br /> 1 $105,00 <br /> <br />$105.00 <br /> $o.oo <br />$105.00 <br /> <br />PAYEE: HOPKINS. ED~ARD/JACt~c~DN. JOAN, ..... · ,,. ',~,; .' '..; ' ,,: R~CEIPT NO; 19070 <br /> <br />FOUL~ING ~ST BE ~L~EO. {T CB ~E' ~SISI~L~W OF..~ ~PLI~T TO ~R~ ~AT <br />ALL N~RY INFO~TI~ ~ B~ 'P~ZD~. ~ ..... <br /> <br />PLAN RE'VIEW: BY .... DATE CITY JURISDICTION: BY DATE <br /> <br />REd,ARKS: SEPTIC AUTH R~6980 <br /> <br /> <br />