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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />~20'HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-§147 <br />CODE-A-PHONE 4:30 P.M.. S:O0 A.M. <br /> <br />DATE.- t 1714/89 ,,TIME= <br />6 RU,%H, CLIFF <br /> <br />CLA~E A. FITCH ,- RJ~NTER <br />PO SOX 597, DETROIT 9?342 <br />PHONE .' <br /> <br /> 50 100 <br /> <br />TYPE: ON-S;[TE ~E'~A~ <br />PER,lIT OR APPL);~TION NO: 9030244 <br />CONTRACTOR, NO. 3B421 ~(~ <br />KE¥IN '~ BAC~OE SERVICE <br />P,O. BOX 465 <br />DETRO,~T, ORE, GC~ g7342. <br /> <br />........ l ............. lJ~ <br /> sO0o. O0 SF <br /> <br />t¢~ATER ECJPPLY; C.~ <br />T,'EST HOLE~ READY: <br />SITE ~A~AT[~ ~ERt <br />~ISTIN~ T~K SIZE~ <br />~ISTING ~IN FIELD LIN~: <br />SEPTIC T~K <br />P~I~$ NO. BED~ <br /> <br />I $80. O0 <br /> <br />$80,00 <br /> $0.0o <br /> <br />TOTAL .-~ED <br />PP.8'V 10(,J8S R~EI PT~ <br />THIS RECEIPT <br /> <br /> ITFJ~ <br />REPAIH -MAJOR <br /> <br />BALANCE DUE $0. OD <br /> <br />PAYEE: KEVIN'$ SAC~OE SERVICE INVOICE NO: 21484 <br />RFJ;EIVEO BY: ¢'1 TYPE: IN CHECK ;: 0 <br />SEE ATTACHED OOCUM6NT FOR RE(~MZREMENT$ OF QN--~ITE SE:INA6E SYSTEM. <br />x~ TH~$ IS NOT A PEF~IT~ <br />FOLLOWING MU~T 8E COVETED. IT I~ THE RESP~BII, ITY OF ~[HE AFPLIC~T TO A~RE THAT <br />ALL NEC~y INFOR~ATICN H~ BFJ~N PROVIDED. <br /> <br />HEMARK,~: ~OR REPAIR <br /> <br />CZ'fY JURISDICTION~ BY_,.,,.~ .......... DATE,._,..,.__...__ <br /> <br /> <br />