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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BI. DG. 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 /> DATE; 06/08/87 TIME.* 4:$3:44p <br />oww~ IvIAzR, J.NvlES 'T~,X LO'r. <br /> <br />R <br /> <br /> 7727 SHE~N RD <br />,61JNb-'V ! LLE <br /> <br />CONSTRUCTION TYPE <br /> <br />OR 9'7325 <br /> <br />$'rN~LE FN4ILY O~ELLIN~ <br /> <br />PHONE: 749-133~ <br /> <br />N <br /> <br />O~U~AN~ LOAD <br /> <br />1N AR <br /> <br />COqTI~CTOR, NO. <br /> <br />749-1339 <br /> <br />NATER ,gJPPLY: Pt4 <br />TE~T HOLd READY: <br />SITE EVALUATION NtJHBER: <br />EXISTING TANK SIZE: 1200 <br />EXISTING DRAIN FIELD LINE~: <br />SEPTIC TANK PUMPED: 3-19-87 <br /> <br />48 <br /> <br /> ITEN <br />AUTHORIZATION NOTICE - FI_D, VISIT <br /> <br />PAYEE: <br />RECEIVED <br /> <br /> QUANTITY 1 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOLL5 RECEIPTS <br />THIS RECEIPT <br /> <br />8AL.NNCE DUE <br /> <br />INVOICE NO: <br />CHECK <br /> <br />NvI(TJNT <br /> $65,00 <br /> $65. O0 <br /> $,55. Oo <br /> $0. O0 <br /> <br /> $o.oo <br /> <br /> TYPE <br />SEE ATTACHED ~:X:3JiVtENT FOR RF~IREMENT~ O~ ON-~i~ 5~E <br />* ~IS IS A V~IB ~IT = ~lS ~[T~-~I~ 380 ~ <br />Z~I~ ~I~. I ~ :~D ~ID. <br /> <br />CX~NALO E. t,,aDOOLEY. MARION CCUNTY BUTLDZN~ OF,F[CIAL ./ BY <br /> <br /> <br />