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MARION COUNTY BUILDING INSPECTION <br />SENATOR I~LDG, 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 /> PHONE: <br /> <br />LO? ~4.0CK <br /> <br />6~T~E: 07126/88 TIME: $ ~ 51 ='27p ?77~'c"-o~ ..................... I ~.~¢~'~'~ <br />~V~ LLE ~ 97325 <br /> <br /> V~~ ...................... <br /> <br /> ~mWNSHl~ <br /> <br />TYPE: ON~ITE $~ <br />PEENIT OR APPLICATION ~: ~2j~ <br /> <br />~VZLLE OR 9732~ <br /> <br />THAI'ER SUPPLY,~ PIN ' <br /> F_~T HOLE~ READY; <br />SITE EVALUATf0N NUNBERz <br />EXTSTZN8 TANK s'rZE~ ·900 <br />EXISTING DRAIN FIELD LINE~. <br />· EPTIC TA~/K PUNPED: ?/13/88 <br />PI:~VICUS NO, BEDROONS: 3 <br /> <br />45O <br /> <br /> ITEN <br />AUTHORIZATION NOTfCE - FI_D. VISIT <br /> <br />PAYEE~ <br /> <br /> (YJANTITY AMOUNT <br /> ~ :: 1 $105.00 <br />-TO~KIS'*ASEE.,_~SED.,,.'~E~ $105.00 <br /> RECEIPTS $105.00 <br />TH~S RECEIPT $O.00 <br />8~OE~UE $0.00 <br /> <br />RECEIPT NO: <br /> <br />RECEIVED BY; JE ~ '" TfPE: CHECK <br />~EE ATTACHED ........ ~ ......... -' ' ; ~ ' '" "~' ' -- <br /> <br />~,~.~, ......... ~ ___Z____ I~-,~z~ 360 ~ <br /> ~-~ r~ ~u ~, ~L,~ , ~ ~ STA~ ~ ~D ~I~ ~N~ ~I~ <br /> <br />RENARY~: REPLACING EXISTING 1~3 HONE -AU~t FIELD VISIT R~4011 <br />DCNALD E. HOODLEY. NARION COJNTY BUILDING OFFICIAL <br /> <br /> <br />