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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HiGH BTREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P,M. - 8:00 A.M. <br /> <br /> DATE: 04135?88 TIIV~: 11:~4:$4a <br /> <br />uw.~,:: GEI~HARDG, PETER <br /> <br /> 360 BUTTE ~T <br />OETRO I T <br /> <br />OR 97342 <br /> <br />136 STEELHN,,'t4ER RD <br />SILVER'TON 97381 <br />PHONE: 873-5470 <br /> <br />NO <br /> <br />: OCCUPANT LOAD:: <br /> <br />TYPE: ON-SITE ~E <br /> <br />PERNIT OR APPLICATION NO: 8184 <br /> <br />CONTI~6,CTOR. NO, <br />GERHARDS, PETER <br />136 STEE~R RD <br />SILVERTON 97381 <br />PHC~E: 8?3-54?0 <br /> <br />SITE <br /> VALUATION <br /> <br /> m~mo LOt NO <br /> <br />hlATFJ~ BUI:~uY; CH <br />TEST HOLES READY: <br />SITE EVALUATION NUt'ER: <br />D(ISTIN~ TANK SIZE= <br />EXISTING DI~IN FIELD LINE~: <br />· EPTI¢ TANK I~.INPED: <br />PREVIOUS NO. BEDC;~DOMS: <br /> <br />105 <br /> <br />0UANT~TY ,,M40UNT <br /> <br />PAYEE: <br />RECEIVED BY: CL <br /> <br />TOTAL ,a,.~.~D FEF~ <br />P~ICI~RE~EIPT~ <br />THIS RECEIPT <br /> <br />$35.00 <br />$35.00 <br /> $0.00 <br /> <br />BALANCE [~JE <br /> <br /> INVOICE NO: <br />TYPE: CHECK <br /> <br />SEE ATTACHED DOCUIV#~itT FOR RE~UIRI~"Y'~ OF Ct~',-~ITE ,SIDf~U~E S~T~. <br /> <br />~TI~ FAI~ ~ ~ ~L ~Z~~ STA~ ~O ~I~ ~ ~ILDi~ ~O <br /> <br />RID1ARIG: SEPTIC REPAIR <br /> <br />DONALD E- ~)OLEY, MARION COJNTY ~JILDING OFFICIAL / 8Y <br /> <br /> <br />