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MARION COUNTY, BUILDiNG INSPECTION <br /> SENATOR SLDG NO. <br /> 220 HIGH STREET NE <br /> SALEM,,OREGON 97301 <br /> <br /> PHONE 558-$147 <br />CODE-A-PHONE 4:30 P.M, - 8:00 A.M. <br /> <br /> of e, reglstere~ builder, <br /> <br /> have road and agree to th~ te¢~ stated on tDe ~'~ve¢~;e side <br /> <br />~TE~ 06/22/8? T~NE: g: 13:43a <br /> <br />TAX ccm ~ 1374-000 <br />CONSTRLICTION TYPE OCCL/PAN(~¥~ <br /> <br /> 9143 W. STAYTON RD SE <br />AUH~VILLE OR 97325 <br /> <br />PHONE: <br /> <br /> SITE NUMBER: 1713 <br /> VALUATION: <br /> <br />~$ 2W EFU <br />AC m~O, LO¥:: N¢°nN~n N <br /> <br />62 <br /> <br />TYPE: ON-SITE S~AGE <br /> <br />PEP, NIT OR APPLICATiON NO: <br /> <br />CC~TP. ACTOR. NO. <br />SELNES, ARNOLO & EVELYN <br /> <br /> ~TE.M <br />,----SE-< S NONTH~ OLD <br />~ SIrE EVALUATION. FI~T LOT <br /> <br />900278~, <br /> <br />WATER SUPPLY: PN <br />TEST HOLE,S REAOY: <br />SITE ~¢ALUATION NUNBER: <br />EXISTING TANK SIZE: <br />EXISTING D~6. IN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. ~ED~)0NES; <br /> <br />TOTAL A...~8~ED FEE~ <br />PREVIOUS RECEIPTS <br />THI~ RECEIPT <br /> <br />QUANTITY ANOUNT <br /> $65.0~ <br /> <br />$230.00 <br /> $0_00 <br />$230.00 <br /> <br />DUE $0,00 <br /> <br />PAYEE: SEL.NE~, AR~tOLD & b~VELYN_ ~ INVOICE NO: 3300 <br />~ECE~VEO BY: JB ~..~~ ~'~YPEt OK ~ECK ~: 4553 <br />SEE A~EO ~H~T FOR RE. mIRrors OF ~ITESE~E S~TEM. <br /> <br /> <br />