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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO 225 <br />2.2_0 HIGH STREET NE <br /> SALEM= OREGON 97301 <br /> <br />PHONE: 588-5147 8:00 - 4::30 <br />HOUR CODtE-A-PHONE~ $88-7904 <br /> <br />M~,RION C.'OJNTY NO' <br /> <br />ROY <br /> <br /> 9273 E~ E~ RID <br />AUM~V! L. LE OR <br /> <br />97325 <br /> <br />PJ~5 ~ DEN [i~ <br /> <br /> OE,,SIF~ H~RR~N - MOE:tlLE <br /> 9~54 ~ ~A~ RD ~E ~VILL~ <br /> <br />W~D)H DE~TH AREA <br /> <br />SiT~ NUI~I3ER: <br /> VALL~T iON: <br /> <br />11610 <br /> <br />AC NO , NO <br /> <br />C~,3N'rRACTOR, NOt <br />HERRNANN, <br />DESJR£E HERI:~IANN ~ MOBILE <br />9254 ~AW ~ARE ~ ~ AU~ILL <br />~E: 384-1333 <br /> <br />WATER SLIPPLy.-. F~ <br />TE..~T HOLES READY: <br />E:,JL"I'E EVALUAT.[ON NUIV~ER: <br />~ItSTiNG TANK, EdZE: <br />EXISTING DRAIN FIELD LiNE~: <br />SEPTIC TANK PUr4PED: 1.~3-$1 <br />PREVIOU~ NO. BEDROOiV6; <br /> <br /> If,EM <br />AUTHOR~ZAllrJN NOT1CE - FLD, ViSiT <br /> <br />PAYEE-: <br />R6CE,I[VP.:L~ BY: CL <br /> <br />r..XJANTtTY A~NT <br /> <br />TOTAL AEE, ESSED FEE~ <br />PREV~OJ~ RECEIPI$ <br />THIS RECEIPT <br /> <br />$0.00 <br /> <br />BALANCE 0UE <br /> <br />RF.C.E. I PT NO': <br /> CHBCK ~: <br /> <br /> TYPE*. 0 <br /> <br />~ST~TZ~ ~AJ~ TO E ~ ~~ 0F STATE ~ ~D ~ ~W ~[LDZNG ~D <br /> <br />tYONALD E. ~,'OOfLT~F-¥. NARiON C'OJNTY BUILD[NG OFF tO[AL / BY ........................................ <br /> <br />ron~ ~ ~ ~s~ ney ~ OF FICE COPY <br /> <br /> <br />