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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P,M. * 8:00 A.M. <br /> <br />36O BUTTE ST <br /> <br />90221-770 <br /> <br /> :: CONTRACT CITY:: ~ UGB~ <br />CETeOlr. ........... ! .NO, <br /> <br />t36 STEE~ RD <br />~LV~RTON 97381 <br /> <br /> 12 <br /> <br /> ~ 70 50 <br /> <br />TYPE: ON-SITE SEBiAGE <br /> <br />PER~vi]:T OR APPLICATION NO: <br /> <br />CONTRACTOR. NO. <br />GE~-IAJ~, PETER <br />i36 STEELI-bN'4~4ER RD <br />SI LVERTON 97381 <br />PHONE; 873-5470 <br /> <br />AREA: ~ UNIT~I: <br /> $500.00 . SF <br /> <br />SITE NUF~ER = <br /> VALUAT:[ON: <br /> <br /> iRREG LOT: CONNER <br /> NO NO <br /> <br />9008184 <br /> <br />~I~.TER SUPPLY: C:~ <br />TEST HoLE~ READY: <br />SITE EVALUATION <br />~I~TI~ T~KSIZE. <br /> <br />EXISTING DRAIN FIELD LIN~: <br />SEPTIC TANK PUMPED: <br />PREV[~NO. BEDRO01v~: <br /> <br />R~$~DENTI~L <br /> <br />2 <br /> <br />105 <br /> <br /> 2TEM <br />REPAIR <br /> <br />~ANT I TY <br /> 1 <br /> <br />AMOUNT <br /> <br /> THIS RECEIPT $3~;. 0C <br /> 8ALAN~QUE $0,00 <br /> <br />PAYEE: GF_RHAEO~, PETER ~ . INVOICE NO: 8834 <br />~ECEI~D ~Y= ~ --. -..-. .... ..... . ,, [~ "~PE: IN ~E~ ~: O <br /> <br />PLAN REVIEW: 8Y..~ OATE~ CITY JURISDICTION~ <br /> <br />RF-J~!AR~$: E~EPTIC ~EPAIR <br /> <br />~. uc ,~ ~ -~.v. ~,,, OFFICE COPy <br /> <br /> <br />