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MARION COUNTY EIUILDiNG INSPECTION <br />SENATOR ~LDG, NO. 225 <br />220 HiGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE $88,5147 <br />CODE~A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br />F. DF, AN JA~PER~ - BUYER <br />2192 E~3 HZLLCR~T OR WE'ST L~'NN <br />PHONE: 636-2936 <br /> <br /> 103 ; 69 <br /> <br />TYPE: (~N-~ITE SEWAGE <br /> <br />PERMIT OR APPLICATIC~N NO: <br /> <br />~T~TOR, NO. 3~21 <br />K~IN'S B~ SE~ICE <br />P.O. BOX 465 <br /> <br /> .....................T~ ~o'r, i O^~C~' .......... ~ <br /> 66960-000 ~ RE~i DEN~XA~ <br /> <br /> SITE Nu~ER= 5355 <br /> VA~ATI~ ~ <br /> <br /> ~o .... ; .......... ~_E .................... ~ ......... <br /> <br /> ~TER ~PPLY: cw <br /> T~T HOL~ E~OY= <br />11?72 S~TE ~A~ATI~ ~ER; 10~31 <br /> ~ISTING T~K ~IZE: <br /> ~I~TING D~[N FI~D L~N~: <br /> SEPTZC T~K ~MPEO; <br /> PR~S NO. BED~: <br /> <br />ITEN QUANTITY NflCUNT <br />SE~P;*I~E TRENCH 1 $165.00 <br /> <br /> TOTAL. AS..~D FEE~ $155.00 <br /> · PREVIOUS RECEIPTS,- $165.o0 <br /> THIE, RECEIPT,~ ' $o. 00 <br /> ~LANCE $o <br />PAYEE.' ;' ~ ~ ~ - ['NvOICE NO: <br /> <br />REMARKS: SEEPAGE TRENCH ALT SYS$TEN <br /> <br />OCNALD E. HCX3DLEY. h'ARICel CI:X.INTY ~UI'LBI:NG OFF, I.C,I:AL,'/ BY <br /> <br /> <br />