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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO_ 225 <br />220 HIGH STREET NE <br /> SA~.EM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P_M_ - 8:00 <br /> <br />08/14/89 TIME= <br />HENDRIC'~S. WILLIAM <br /> <br /> 1t769 STEINKA~P RD <br />AUM~VILLE <br /> <br />OR 97325 <br /> <br />SE <br /> <br /> CO~I~A~T CITY <br /> <br />MARION COUNTY <br /> <br />NO <br /> <br />12238 ~UBLI~ITY ROAD SE <br />PHONE: 769-6243 <br /> ~0T~N <br /> <br /> SITE <br />~VALUATION <br /> <br />676~ <br /> <br />TYPEs ON-SITE ,.~ENAGE <br />PERMIT oR APPLICATION NO: <br />C~NTRACTOR, NO, 36363 <br /> <br />PO BC~<26 <br />~ULIMITY, <br />~E: 7S9 5950 <br /> <br />2.50000 <br /> <br />17776 <br /> <br /> AC NO NO <br /> <br />HATF~ E~U PPLY: <br />T~T ~ ~Y: <br />~I~ ~ALUATZ~ ~ER: 14651 <br />~ISTING T~K SIZE: <br />~IST~ D~IN FInD LIN~= <br />SEPTIC T~K <br /> <br />SE < 6 MONTH~ OLD <br /> <br />PAYEE: <br />RECEIVED <br /> <br />~TI~'Y A~OUNT <br /> I $110.00 <br /> <br />TOTAL ~ FEES <br />PREV~[OUS REC~I PT~ <br />THIS RECEIPT <br /> <br />$1t0,00 <br />$110,00 <br /> $0,00 <br /> <br />BALANCE DUE $0. O0 <br /> <br /> RECEIPT NO: <br />.......... <br /> <br />SEE ATTACHED OOCU~T FOR REqUIRB~iENT$ O~ ON-~IT~ SB~,GE ~T~. <br /> .. __ .... ........ <br /> <br />Z~I~ ~I~, ~IS~ ~8~ ~ ~O ~lO, <br /> <br />REf~IARK~: STANOARD SY~TE~4 ~6g?0 <br /> <br />CX.~NALO E. NCX:)OLEY, MARION C~TY 8UILDIN~ OFFICIAL <br /> <br />OFFICE COPY <br /> <br /> <br />