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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 $88~5147 <br />CODE-A-PHONE 4:30 P,M, · 8:00 A.M. <br /> <br />'LOT: <br /> <br />WIOTH[ <br /> <br /> f Other ............. mA?E: ............ <br /> <br /> DATE: 03/03/88 TI~: 2:O0.'10p <br /> <br /> ............................}"~-AX ' LOTi........................... ~7~V: RESIDENTIAl, <br />OWNe,~ IAOL~ON, RICHARD <br /> <br /> 10766 8U~E ST Nffi ~CT ..................................... C~W, +' ........................ uae= ~u~.~ ~o~o: <br /> <br /> ~ SITE NU~ER: 3687 <br /> ~E: 6?8-2653 <br /> <br /> ~ 32 ~ ~ ~ 1H ' AR ; 1 <br /> ...... <br /> <br />TYP~: ON-SITE SEWAGE <br /> <br />PER~IT OR APPLICATION h~:): <br /> <br />CX]qTRACTOR. NO. <br />~, RI~A~ <br />~E <br /> <br />~E~ 57~-2653 <br /> <br />~TER ~UPPLY= DH <br />TEST HOLES READY; <br />SITE EVALUATION NUt'ER: <br />EXISTING TANK SIZE= <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPEO: 2/15/88 <br />PEEVlO. IS NO. 8ED~= 2 <br /> <br />PAYEE= <br />RE~EIVI~D BY: CL <br /> <br /> ITEN <br />AUTHORIZATION NOTICE - FLD. VISIT ..... ...:.-.....:_..: ...... <br /> , ,:"TOTAL A~ESSED, EEE~ <br /> , ~ gRE¥~,OUS -R~E~ P~ <br /> <br />ATTACHED 0OCUNI~IT FOR <br /> <br />z 'lliZ$ IS A VALID PEI~4IT <br />C~NSTRUCTION FAILS TO MEE'[ <br />ZONING OI;~INAI(~S. THIS <br /> <br />(~JANTITY A240UNT <br /> <br /> IPT NO: <br />,,.!,. CHECK <br /> <br />$65.00 <br /> $o.oo <br /> <br />$0.00 <br /> <br /> ~TS I~UE DATE. IF <br />.AND ~4ARION COIJ~ BUILDING AND <br /> <br />RS'4ARK~: AUTH NOTICE-REPLACING MO ~ R~:9030 <br />DONALD E. WOOOLEY, MARION CCUNTY ~UiLDING .OFFI'CIAL / ~Y <br /> <br />OFFICE COPY <br /> <br /> <br />