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MARION COUNTY BUiLDiNG INSPECTION <br />SENATOR BLD6L NO, 225 <br />2~0 H~GH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-~147 8:00 <br /> 24- HOUR CODE-A-PRONE: 588-7904 <br /> <br />~'I'E: 06/28/90 <br /> <br />97002 · <br /> ~RZ~ ~NTY ' N0 <br /> <br />PO SOX 875 <br />N[LSONVILLE OR 97070 <br />PHONE: 694-5109 <br /> <br />.................., B~,OCK: <br />'~ 't 1 ; 46 1H " <br /> NO NO <br /> <br />TYPE: C~-~JTE <br /> <br /> SITE NUFIBER-' 355,3 <br /> VALUATION; <br />......... ;' 'r~wN'si,hi~i ............... ,~ '~;&'~E; ...................... : '~'~'E': ......... <br /> Et"U <br /> <br />PER~iT OR APPI..lCATiON NO: 9023596 <br /> <br />FCATER:~UPP~Y= P~ <br />TEST HOLES REAOY: YES <br />~ITE EVALUATION NUI~BER: <br />EXISTiN~ TANK ~ZE: <br />(~(i~TING DRA[N FieLD LINES~ <br />SEPTIC TANK PUMPED: <br />PREViOU~ NO. ~EDROQvlS; <br /> <br />CONTRACTOR, HO. <br />HE'iTT. DEL <br />~ 80X 8'15 <br />NII,.SO~ViLLE OR 97070 <br />PHONE: 694-5109 <br /> <br /> l TE~ '(~UANT ! TY N~TdNT <br />STANDARD ON-$ZTE ,~YST~ .. 1 $185,00 <br /> "", ' TbTAE'~ FE~ <br /> · , '..:. , TH~ R~E[~T -$10_o0 <br /> · ,o.oo <br />PAYEE: HE. iTT, 0EL ~ REC~iPl' ~ 26'~ 1 <br />RECEIVED BY: ~ .'.~ ..... ' TYPE; CK ~ECK ~ 352 <br /> <br />STANDARD SYSTE. Ivl FOI~ HARI~IP <br /> <br />ci'r¥ JURISDICTION: BY DATE~ <br /> <br />OFFICE COPY <br /> <br /> <br />