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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. :~25 <br />220 HIGH STREET NE <br /> SALEM, OREGON g7301 <br /> <br /> PHONE 588-5147 <br />CODE.A-PHONE 4:30 P.M. - 8:00 A_M. <br /> <br />DATE~ ........... <br /> <br />90222-430 ~ <br /> <br /> 230 TUNBLE b-q- <br />DETROIT OR gT:~t2 <br /> <br />CLARE A. FITCH - RENTER <br />PO 8OX 597, DB~'~IT 87342 <br /> <br /> 50 100 <br /> <br />TYPE: ON-~ITE SEWAGE <br />PEI;;"-,rWl~'T OR APPL[~T[~ ~ <br />C~T~TOR, NO. 36421 <br /> <br />P.O, 8~ 465 <br />D~IT, OR~ ~7342 <br /> <br />5000.00 <br /> <br />202¢4 <br /> <br /> VALUAT I ~: <br />TOV,,W$~ JP- ~U~NGE, ZON~E <br /> <br /> 10 5E <br />UNI?~ IRR£G LOT CORNER <br /> NO NO <br /> <br />~,EST HOLES READY: <br /> !TE EVALUATICN NUMBER: <br />EXISTING TANK SIZE~ <br />EXISTXNG DP~IN FIELD <br />5EFT:lC TANK PUMPED: <br />PREVTOUS NO. BED~CtVi~. <br /> <br />ITF~ <br /> <br />PAYE~: <br />RECEIVED <br /> <br />(~XJANT TTY AMOUNT <br /> <br />~OTAL ASSESSED FEE~ <br />REV/OUS RECEIPTS <br />THZ$ RECEZPT <br /> <br />~80.00 <br />80°00 <br /> $o,0o <br /> <br />BAL.a~CE 0UE $0-00 <br /> <br />INVOICE NO: <br /> <br />DONALD B. HOODLEY, NARICN COJNTY ~JILDING OFFICIAL / BY <br /> <br />"o~, ~c 1~ ~,, ~.v e/~' OFFICE COPY <br /> <br /> <br />