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MARION COUNTY BUILDING INSPECTION <br />SENATOR t~LD~t. NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br />~TE~ ~/11/90 TINE: 14:01:48 <br /> <br /> S~PFEL, WZLLI~ J. & J~E~E <br /> <br /> 5750 ~ ~E SE <br />AU~V~LLE OR 97325 <br /> <br />1400 S- ELM SP 20 <br />CAN~Y OR 97013 <br />PHONE: 266-4349 <br /> <br /> 14 <br />V~IDTH 01~P"~ AnE~ 2.99--------0u~00001 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 PM. ~ 8:00 A.M <br /> <br />'tAX LOT CJ~rsGon¥ RESIDENT <br />~RION COUNTY NO <br /> <br /> SITE NUMBER: <br /> VALUATION <br /> <br /> 2W <br /> <br />AC NO NO <br /> <br />MAP <br /> <br />TYPE: ON-SITE SEWAGE <br />PERNIT OR APPLICATION NO= 9023154 <br /> <br />CONTRACTOR, NO. <br />STUPFEL. I~[LLIAM J. & JEANETTE <br /> <br />oANBY <br />PHONE = 258-4349 <br /> <br />STANDARD ON--SITE SYSTEM <br /> <br />PAYEE: STUPFEL, NILLI/~ J. ~ JEAN~f'iE <br />RECEIVED BY: P~ <br /> <br />WATER .~JPP~Y; PN <br />TEST HOLES READY.* <br />SITE EVALUATION NUt49ER: ~0-2011 <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUNPED: <br />PREVIOUS NO. aEDROOMS.. <br /> <br />CUANTITY N~,IOUNT <br /> I $185.00 <br /> <br />TOTAL A,S~E~SED FEES <br />PREVZOU~ RECEIPTS <br />THI.~ RECEIPT <br /> <br />$165.00 <br /> $o_oo <br />$~65.00 <br /> <br />¢~ALANCE DUE <br /> <br />$0~00 <br /> <br />RECEIPT NO: 24546 <br />TYPE: CK CHECK ~: 702 <br /> <br /> SEE ATTACHED DOCUMENT FOR RE~JIR~T~ OP ON-~ITE 5~E ~YSTEM. <br /> <br />~L~I~ ~ BE ~. IT IS ~E ~IBILI~ OF ~E ~I~ ~ ~ ~T <br /> <br />PLAN REVIEW: 8Y..~_____ <br />AF_JC~R~S: NEN SEPTIC <br /> <br />CITY JURISDICTION= BY <br /> <br />DATE .... <br /> <br />COPY <br /> <br /> <br />