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MARION COUNTY BUILDING INSPECTION <br /> <br /> 220 HIGH ~JTREET NE <br /> .E~,ALEM. OREGON 97301 <br /> <br /> PHONE 586-5147 <br /> ' ~m ~' °4 a-' m~ er ec'cu~'CO0''A'PHONE 4:30 RM' ' 8:00 A'M <br />~TE: 08/22/~9 T[~: 10:~6:03a <br /> <br />AU~V[LLE <br /> <br />9863 MILL CREEK RD SE <br />AUIv~VILLE. OR <br />PHONE: 749-2991 <br /> <br />SE <br /> <br />$ITENU~ER: <br /> VALUATION: <br /> <br />MAP: <br /> <br />~8 <br /> <br />PERMIT OR APPLICATION NO= g0183!8 <br /> <br />CCNTPACTOR, NO, <br />ADA[R, RICHARD <br />9862 MILL CREEK RD SE <br />AUM~V~LLE, O~ <br />PHONE: ?~g-2991 <br /> <br /> TE~T HOLE.5. REA~: <br /> SITE EVALUATION NUiV~ER: <br /> EXISTING T~D~K SIZE: <br />EXISTING DRAIN FIELD LINES; <br />'SEPTIC 'TANK PUMPED: BEING DONE <br />PREVIOUS NO- DEDROCiY~: 2 <br /> <br />'.,.AUTHORIZATION NOTICE -FLI~ ¥IE:~.'~:.,:.~ .... m 1 $ 105 ' 00 <br /> <br /> TH '[ "--'S REC'E I PT $105,00 <br /> 8AL.ANCE OUE $O,OO <br /> <br />PAYEE: AOAIR, RICHARD RECEIPT NO: <br />RECglV~D BY: ¢l TYPE: OK CHECK ~: 3231 <br />SEE ATTA~ED ~MENT ~R R~,iR~TS' OFI'~-SITE ~E S~TEM. <br />* ~IS IS NOT A PE~IT~ ~IS ~LI~I~'.~',,~' ~ A. R~I~ P~ ~ERE THE <br />~LL~ING ~ BE ~L~. ,"~:[T;;I'5"~E ' ~[BILI~ ~ ~E APPLIC~T TO ~RE ~AT <br /> <br />PL~ R~[~: DATE~~ ~ITY JURI~DICTI~: BY DATE <br />R~R~: AU~ ~77~5 <br /> <br />~O.~c~-~ ~v .~,~ OFF!CE COPY <br /> <br /> <br />