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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO- 225 <br />220 H~GH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 58~-5147 <br />CODE-A-PHONE 4:30 EM - 8:00 A M <br /> <br />ornaTE: 01/06/89 TIlYE: 4=Ot=21p <br /> <br />~ts, RION COUNTY NO <br /> <br /> 562 11TH fST <br />ALe~VI LLE <br /> <br />g7325 <br /> <br />N <br /> <br />RESI~ <br /> <br /> PH(~t~: 749-1503 <br /> <br />LOT BL~C~ <br /> <br />SITE NUMBER) 6289 <br />n~UATION: LONE <br /> <br />271 <br /> <br />38O <br /> <br /> 25 <br /> <br />102380. <br /> <br />NO NO <br /> <br />AR <br /> <br />51 <br /> <br />13282 <br /> <br />WATER EaUPPLY: PW <br />TEST HOLE~ READY: <br />~ITE EVALUATION NURSER: <br />E~ISTING TANK SIZE: <br />EXISTING DRAIN FIELD <br /> <br />PREVIOUS NO. BEDROOM~; <br /> <br /> 2TEM QUANT fTY <br />ANNUALEVA&_+ - TEMP OR <br /> <br />AMOUNT <br /> $60.00 <br /> <br /> 60.00 <br /> $0.00 <br /> <br /> $0.00 <br /> <br /> TOTAL ~O FEES <br /> PR~/IOUS RECEIPI~ <br /> THIS RECEIPT <br /> <br /> ~ DUE <br /> <br />PAYE~= RECEIPT <br />~EIVED aY: c3 ~: <br /> <br />R'E~4ARt~ ANNUAL ~IPSEPTIC IN~ R~6688 <br />DONALD E, I~X)DLEY, MARION COUNTY 81JILDING OFFICIAL <br /> <br />¢0~ ,~ ~ f~ f~V tJtql OF,tICI: COPY <br /> <br /> <br />