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MARION COUNTY BUILDING INSPECTION <br />S£NATOR BLDG. NO. 225 <br />220.,.H IG H~TR E ET NE <br />· ~ALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 5887904 <br /> <br /> Other ........ <br /> <br /> OATE: 05,/16/90 TIME: 11:32:33 <br />OWNE~:: DORLNflD, LARR;F <br /> <br /> 104 FOREST E~RV[CE RD <br />OEI'RO I T OR <br /> <br />~,, RT 3 8C)X 460 <br /> ,,. HILt....~ORO, OR 97124 <br /> ~, PHONE: 647-2980 <br /> <br />97342 <br /> <br />NE <br /> <br />104 <br /> <br />w{O rM 120~D~m-~ <br /> <br />COUNTY <br /> <br />CA?E~ORY <br /> <br />OCCUPANCY <br /> <br />NO <br /> <br />O~CUPANT LOAD <br /> <br />OEVIL{S CREEK ~Ut~IER TRAC[~ <br /> <br />5ITE NUIV~ER = 9963 <br />VALUAT I ON: <br /> <br />102 <br /> <br />PEF/~iT OR APPLICATION NO: 23406 <br /> <br />CONTRACTOR, NO. <br />DORLAND, LARRY <br />RT 3 80)( ~,60 <br />HI L~,_O~R 97124 <br />PHONE: 647 2980 <br /> <br />AUTHORIZAT[ON NOT[CE - NO VISIT <br /> <br />~TER SUPPLY: <br />TEST HO!.,E~ READY.* <br />51T~ I~:VALUATiON NUMBER: <br />EXIST J[N~ TANK <br />EXISTING DRAIN PiE, LO LiNE~: <br />~PTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOi~¢S: <br /> <br />TOTAL A,.%-c~=~EO FEE~ <br />PRE'VIOLJ~ RECEIPTS <br /> <br />TYPE: <br /> <br />~LANCE DUE <br /> <br />= , RECEZVEO BY: PR <br /> <br /> QUANTITY AMOUNT <br /> $60.00 <br /> <br /> ~50,00 <br /> 60.00 <br /> $0.00 <br /> $0.00 <br /> <br />RECEIPT NO; <br />CHECK #: 0 <br /> <br />SEE A'rT~;HED I:x:x::UI~ENT FOR RE~JIPJ~/~NT~ <br /> <br />CCJ~E~RUCTII::Ji FA.[L~ TO IRE)ET ALJ.: ::RE~U/R~*]B'~I~(~ STATE AND i~M~ICI~I GOL~TY IRIILDII~ AND <br />Zg~IN~ ORDII~II~:I~. THIS la~a~l,T ~ ~ .I~ULL .a~D VOID. <br /> <br />RENARKS: InlATER ~OUI;~CE, I~a~UAL CREEK- PIT PRiViID5 <br /> <br />DONALD E. i,JOOOLEY, MARION COUNTY BUILDING oFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />