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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 235 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> · .~ PHONE 588-5147 <br />(3ODE A;PHONE 4:30 EM_ - 8:00 A.M <br /> <br />07/19/89 TINE~ 12:48:14p <br /> <br /> TAX <br /> <br /> CONSTRUCTION TYPE <br /> <br />MARION COU~'Y No <br /> <br /> 9Sg3 PORTER RD <br />AUNSV[LLE <br /> <br />OR 97S25 <br /> <br />RESIDENT] <br /> <br />PHONE: 749-2643 <br /> <br />$~TE Nu~ER: 74 7 !' <br />RANGN"ALUAT'~CN: ZONE N~,¥' <br /> <br />~ .00000 ~ NO NO <br /> <br />62 <br /> <br />TYPE~ ON-SITE SENAGE <br /> <br />PERt4IT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />~ALLACE. MINNES[ <br /> <br />~: 749-2643 <br /> <br /> ]T~ <br />AU~OR~ZAT~ NOT~CE ~ FLD. V~S~T <br /> <br />16405 <br /> <br />HATER SUPPLY: PW <br />TEST HOLES REAOY: <br />SITE EVALUATION NUIVE)ER: <br />E~[ST]NG TANK $~ZE~ 1000 <br />EXISTING DRAIN F~ELO LINES: <br />SEPTIC TANK PUMPED~ 5-31-89 <br />PREVIOUS NO. BEDR00~= 4 <br /> <br />QUANTITY ~o~ ANOUNT <br /> ~ $105,00 <br /> <br />TOTAL ASKED FEF~ <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />105,00 <br />105,00 <br />$0.00 <br /> <br />SA.LANCE DUE <br /> <br />$0.00 <br /> <br />PAYEE~ RECEIPT NO: <br />RECEIVED BY= P~ 1. '.:..',, <br />SEE ATTACHED IDOC~ENT FOR RE(~FJ~T~ <br />* ~IS IS A VALID ~[T ~] ~[S:~%~,~I~ 360 DA~ F~ ITS I~E DATE. IF <br />~CT~, F~ TO_ME~ ~Z~TS <br />Z~INQOR-~-~--Z~ oI~ ,~~'~--IS P~I~,~E~E NU~.~D~ID~ ' <br /> <br />RENARKS; AUTH R=7092 <br /> <br />DONALD E. NOODLE-Y. MARION COUNTY BUILDING OFF~CZAL / BY <br /> <br />~c~,,~-,~ .er ~,~ OFFICE COPY <br /> <br /> <br />