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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON g7301 <br /> <br /> PHONE ~$8-5147 <br /> CODE-A-PHONE 4;30 P_M. - 8:00 A.M. <br /> <br />wofR On a ProperS/I own or oCoupy_ <br /> builder OR ) the authorized representeUve <br /> <br />SIGNATURE OF APPLICANT . ........ <br /> <br />DATE: 09/01/87 liME: 12..:,55,:48D ............... <br />OWNER <br /> DALKE, DAVID ~ 61350-000 , C <br /> <br /> 9824 W~T O~ 97325 ~,,~y <br /> ~v i LLE <br /> <br />MA~L~.a ADO~E~ SINGLE F~Y ~LL[~ ~'SUeD~WS~ON:: 3 <br /> <br /> ~E <br /> ' SITE NU~ER= 2289 <br /> <br /> .... ~ ...... ~ ...... ~ ............... 2~ ....... ~ ........... EF~ i . 82 <br /> ~ ~. 00000 [ AC NO NO <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />P£RNIT OR APPLICATION NO: 3993 <br /> <br />CCNTP, ACTOR, NO- 53476 <br />SUNRISE INVESTMENTS <br />~0 8O× $8 <br />TURNER, OREGON 9?392 <br />PHONE: 743-2131 <br /> <br />WATER ~JPPLY: PN <br />TE~T HOLE6 READY: <br />SITE EVALUATION NUMBER.* <br />EXISTING TANK SIZE: <br />~XISTING DRAIN FIELD LINE-~: <br />~EPTIC TANK PUMPED: <br />PREVICU8 NO+ 8EDRO~: <br /> <br /> ITEN <br />ALTERATION <br /> <br />~XJ~TITY ,~1OUN T <br /> 1 $100.00 <br /> <br />$o,oo <br /> <br />$0.00 <br /> <br />PAYEE: ,: RECEIPT NOr <br /> BY: pb .~:,~; ! , -. , TYDE:, ,::,~CHECK <br />~ECEIVED <br /> <br />REMC~RKS: ALTERATION ~ F <br />DONA, LQ E. HOObLEY. MARION CO~N,~ BUILDING OFF[CTA~- / $Y <br /> <br /> <br />