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MARION COUNTY BUILDING INSPECTION <br />SENATOR 8LDG,, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 5~8-~147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />12/13/90 'r [t,1~: 16:00:01 <br /> <br />N[KUDA, RANDY & ANNA <br /> <br /> 893? $[LYER FALLS' HWY <br />AUC4~V~LL~ OR <br /> <br />MAILING ADDRE$~ <br /> <br />97325 <br /> <br />~N, ARiON COUN IY NO <br /> <br />SUBDIVISION <br /> <br />29022 <br /> <br />TEST HO~6~ R~ADY~ <br />~IT'E ~¥ALUAIION NUtv~ER: <br />E?(iST~NG TANK S~ZE: <br />P_~iSflNG DRAIN FieLD LIN~: <br /> <br />TOTAL A~5~D DOO5 <br />PREVIOU8 RECEIPTS <br />THZ$ RECEIPT <br /> <br />f,~JAN '~ I TY A~¥~UNT <br /> $80. O0 <br /> <br /> ~80. O0 <br /> 80.00 <br /> $O.UO <br /> <br /> RgCEiVEO BY~ C,,, TYPE: CHECK ~: 0 <br /> <br /> ~ Af rACHED DOCUN~qT FOR R~iREi~IE]qrs OF ON-SiTE SENATE SYST~. <br /> <br />* THIS IS A VALID PE~/T * THiS P~IT ~PI~ 360 ~ F~ IT~ i~E ~l'~. 1F <br />~ST~CTI~ FAi~ TO ~ET ALL RE~iR~TS ~ STATE ~ ~B ~RI~ ~NTY 8UlgOING AND <br />Z~NG ORDIN~C~, THiS ~IT ~ BE~ NULL ~D~ID+ <br /> <br />R~IARK,~.- ~AJOR REPAIR - TANK ~ DP,.AINL1NF,~ <br />L~NAL~ E. NOOOL~¢, ¢4ARiON ~UNf¥ ~UILO~N6 OFP~O~AL~ / BY ...................~. <br /> <br />OFFICE COPY <br /> <br /> <br />