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MARION COUNTY BUILDING INSPECTION
<br />,~., SENATOR BLDG. NO. 22~
<br /> 220 HIGH STREET NE
<br /> SALEM, OREGON 97301
<br />
<br /> PHONE 588-5147
<br />CODE-A-~HON/: 4:30 P.M. - 8;00 A,M,
<br />
<br />DATE.' 10/11/8g TIME: 8:33=13a
<br /> 5TRAUS[E, ~
<br />
<br /> 30SO0' 20S10 80(3N~, FF-'EE?'RD ."
<br />AU ROEA 'OR' 97002'
<br />
<br />20500 BOONF_S FERRY RD NE
<br />PHCNE: 6'/8-5990
<br />
<br /> 22 4S
<br />4. ?0000u~rrs: AC
<br />
<br /> TAX LOT: ~¥~(~OHY: R~IOE]NTII
<br />
<br />MAR I C~,I COUNTY NO
<br />
<br /> 1
<br />
<br />SITE NUr4~ER: 8587
<br />VALUATION:
<br />
<br /> lW EFU
<br />
<br /> NO
<br /> N~
<br />
<br />TYPE: ON-siTE
<br />
<br />PERMIT OR APPLICATION
<br />
<br />CONTRACTOR,, NO. 3B090P-'IC
<br />AAA SEPTIC S~ICE
<br />2982 PRINGLE RD SE
<br />~L~, OR~ 97302
<br />~E: 378-7454
<br />
<br />901953?
<br />
<br />NATER"'~PPL~ Pti
<br />TE.~T HOLES READY:
<br />SITE EVALUATION NUIV~ER:
<br />EXISTING TANK SIZE:
<br />EXISTING DRAIN FIELD LINES:
<br />SEPTIC TANK"PUMPED= 12-22-68
<br />PREVIOUS NO. BEDROOMS:
<br />
<br /> ITB~I .... :'' ' ' QUANTITY
<br />REPAIR - MINOR '"' """ ' '":'
<br /> ,~," '~';, ' . .. , · ." ':.' 1
<br />
<br /> ,,,~- ,~'..:"~,,.~',,,TOTA~-'~'~t~n'.~l~iS~:
<br /> .~,~'~, . ..... ,..-....?PREVIO0S. RECE:IPTS..
<br /> ,, '....!::::::.._.
<br /> ...... ":::~!:BALAN~E..'DUE
<br />
<br />PAYEE: STRAU~ER, MARY :,',.,:.-',r,..,,
<br /> ....... ~,,,,,,,r,,, .... RECEIPT NO~
<br />RECEIVED BY: c1 .......... ~ ................ ,"~,PE= ':CK CHECK ~:
<br />
<br />AMOUNT
<br /> $55.00
<br />
<br />$E5.00
<br /> $0_00
<br />$55.00
<br />
<br />20729
<br /> 383
<br />
<br />Fort. ,~ m~ ~ ~'~ ~,~ OFFIC~ COPY
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