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MARION COUNTY BUILDING INSPECTION <br />SENATOR RLDG, NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PRONE 588-5'147 <br />CQDE-A-'~EHONE 4:30 PM, - $"00 A.M <br /> <br />DATE.* 05/01/89 TIME: 10:27:44'~ <br /> <br /> NALL~E, NINNET <br /> <br />SIGNATURE OF APPLICANT .... <br /> <br /> DATE __ <br /> <br />AU~VILLE OR 97325 <br /> <br />MARI~N ~C~JNTY NO <br /> <br /> PHONE: 749~2643 <br />LO'( ~LQC~( <br /> <br />5.00000 <br /> <br /> SITE NUMBER~ <br /> VALUATION: <br /> <br />9S 2W <br />AC NO <br /> <br /> RESIDENTJ~ <br /> <br />OCCUPANT LOAD <br /> <br /> 7471 <br /> <br /> EFU 62 <br />N0 <br /> <br />TYPE: ON-SITE SE~GE <br /> <br />PERNIT OR APPLICATION <br /> <br />CONTPJ~TOR. NO. <br />NALLACE, MINNET <br /> <br />~E: 749-2643 <br /> <br />9018405 <br /> <br />NATER SUPPLY: PN <br />TEST HOLES READY: <br />SITE EVALUATIQN NUNSER: <br />EXISTING TANK SIZE: 1000 <br />EXISTING DRAIN FIELD LINE~: <br />SEPTIC TANK PUMPED: 5-31~8g <br />PREVIOUS NO. BEDROOMS: 4 <br /> <br />AUTHORIZATIC~N NOTICE - FLD~ VISIT <br /> <br />TOTAL AS~ED FEES <br />,PREVIOLk~ RECEIPTS <br /> THIS RECEIPT <br /> <br />~ALANCE DUE <br /> <br />$105,0o <br /> <br />$105.00 <br /> $0.00 <br />$105_00 <br /> <br />$0.0o <br /> <br />PAYEE: WALLACE.. MINNET ..... RECEIPT NO: 17445 <br />RECEIVED BY: ¢1 ................... _~ ..... TYPE,;:CK ONECK /~: 0 <br /> <br />sEE AZr ED <br /> <br />FOXING ~ BE ~L~ED..[Z IS ~E,, ~IBILI~ OF -~E APPLIC~T TO ~ ~T <br />~L N~ INFO~TI~ ~..BE~ ~IDED. <br /> <br />DATE <br /> <br />PLAN REVIEW: rty_~ <br />RFJvlARKD: AUTH R~7092 <br /> <br />DATE ~,~ CITY JURISDICTION: 8Y <br /> <br /> <br />