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MARION COUNTY BUILDING INSPECTION <br />SENATOR Bt~DG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4;30 RM. - 8;00 A.M, <br /> <br />ADAIR, R~CHARD <br /> <br />90;17:05e <br /> <br />RES~O~NTi; <br /> <br /> 9823 MILL CREEK RD <br />AUC4SV~LLE <br /> <br />OR 97325 <br /> <br />hl~R ION COUNTY NO <br /> <br />9865 MILL CREEK RD SE <br />AUr,'~V[LLE, OR <br />J3HON~= 749-29g'1 <br /> <br />SITE NU~ER: 8179 <br />VALUATIC~: <br /> <br />MAP: <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PE~IT OR APPLICATION NO: <br /> <br />CCNTP~CTOR, NO, <br />ADAIR, RICHARD <br />g85~ MILL CR~K RD SE <br />AUtv1SVILLE, OR <br />PHONE; ?49-~ggl <br /> <br />5_50000 AC NO NO <br /> <br />18318 <br /> <br /> ITF.~ <br />AUTHORIZATION NOTICE - FLD_ VISIT <br /> <br />NATER ~JPPLY: PiN <br />TEST HOL~ READY: <br />SITE EVALUATION NUt~ER~ <br />EXISTING TANK SIZE: <br />~I~TING D~IN FIELD LINES: <br />SEPTIC T~K ~MPED: BEING ~E <br />PREVI~ ~_ BE~: 2 <br /> <br />PAYEE: <br /> <br />SA ¢8 <br /> <br />:" PREvIOU~ R~OE!PTS <br /> THIS RECEIPT <br /> <br /> B, ,LANCE BIlE <br /> <br />QUANTITY, Af'AOLiN': <br /> <br />~105.00 <br />$!05.00 <br /> <br />RECEIPT NO: <br /> <br /> .............. ,TYPE: CHECK ~: <br />RECEIVED ~Y: pr .... ,, · <br /> <br /> ! . . . ........ <br /> :. ACH~O OO3JMENT FOR ~E~,I~SNI~ .O~ 0N-SITE SEWAGE SYSTS?4_ <br />_~..."n~_!_~..IS_~A VA~LiD PER~IT ;~, ,THL~S,,~.EF~If~,,EXPIRES .3~ ~ F~ I~TS I~E DATE. IF <br />~T~CTI~ FAI~ TO ~, AE[,:'~I'E~ ',~ STATE ~ ~D ~RI~ ~N~ BUILDI~ ~D <br />Z~INe O~DIN~C~, ~S ~IT~[.~8~E ~LL ~D,·VOID.' <br /> <br />:;::NAR~,.o: ,AU :H R:I*?? 'l 5 <br /> <br />~ONALO E. W4COOL.EY. ~A, RION CC~fNTY BUILDING OPFICIAL / ~Y <br /> <br /> <br />