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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. 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 />DATE ~' 07/12/89 TIME'- 9:52:52a <br /> <br />~TUS~OOR£SS: <br /> <br />· tAx ~'r= 66952-000 <br />OON~l~qt,~O'i*lON TYPE', <br /> <br /> 3ao OETRO[T ~O $ <br />DETROIT OR 97342 <br /> <br />DETEOIT NO <br /> <br />10 <br /> <br />SITE NURSER .* 7658 <br />VAUJATION: <br /> <br /> 5E <br /> NO NO <br /> <br />MAP: <br /> <br /> 105 <br /> <br />TYPE: ON-SITE <br /> <br />PERMIT OR APPLICATION NO". <br /> <br />RAOKF-/AOA~S <br /> <br />16896 <br /> <br /> MATER ~UPPLY: 04 <br /> TEST HOLES READY: <br /> SITE EVALUATION 'NUIV~ER: <br /> EXISTING TANK SIZE: <br />,,,~EX~ ~NG, ,ORAIN~,.~.IELD LINE~= <br />SEPTIC TANK PUMPED:" <br />Ptt~VIOJ$ NO. BEDROCNwtS: <br /> <br />i ~JANTII'Y <br /> 1 <br /> <br />PAYEE: ~ INVOICE NO: <br />RECEIVED aY-. C3 ':::"" ' <br /> , .~... ',CHECK <br /> <br />~E ATTACHED DOCtJ~T <br /> <br />NOTE.' THIS DOES NOT GRANT <br />CCXCSTRUCTION P6C~IT~ MUST <br /> <br />AleX3UNT <br /> $175.00 <br /> <br /> ~175.00 <br /> 175.00 <br /> $0.00 <br /> <br />$0.00 <br /> <br />DONALD E. ~)O~L~Y, I~J~I04 (~L~T~ B~'LDIN~ OFFICIAL / BY <br /> <br />~ ~, ~c ,~-~ ~e,~ ~ OFFICE COPY <br /> <br /> <br />