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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG~ NO. 225 <br /> 220 HIGH STREET NE <br /> <br />,t' ~-~ SALEM, OREGON 97301 <br /> <br />08/0:~/91 TIME:: <br /> <br />KO'I"'~ RE, RAY <br /> <br />PHONE: 588-5147 8:00- 4:30 <br />HOUR CODE-A-PHONE: 588-7904 <br /> <br />SE <br /> <br />AUI~Vi LL[~ <br /> <br />AUtW~VU..LE:, OR g7325 <br /> 364-2318 <br /> <br /> OR 97325 R10N COUNTY' <br />............................................................. <br /> <br /> ; Summwmc~N:: <br /> <br />lYPF,;: ON-~I ]E: ~:.EWAGE <br /> <br />P~MiI' OR APPLICATIC~ NO: 90343;63 <br /> <br />CON TRACJOR, NO. <br /> <br />AUI~E, ViLLE. OR 9Z325 <br /> <br /> VALUA'F l ON: <br /> <br />AC IRR£G LOT <br /> <br />102T'18 <br /> <br />2W AR3 <br />NO <br /> <br />h[ATER ,SUPPLY: P~ <br />TEST HO[.ES READY: YE'5 <br />311'E: EWALUATI~ NU~ER: <br />~ISTiNG T~K S~ZE~ <br />~STING D~iN FiELO LINES: <br />SEPtiC T~K ~MPED: <br />PRE~i~S NO. ~ED~: <br /> <br />[SiIl'E EVALUA~iC.Y~, FIFG"J L,.OF <br /> <br />ro'rA~ ~),~go FEES <br />PR~¥IOJS RECEIPTS <br />THIG R;-'CEI ~T <br /> <br />BALANCE L~JE <br /> <br />')Eg ATIACH[D 0(X.,~MI:~.~T ~OR R~IRE~I~IT~ OF ON-~ITE~EWAGE SYS1E~I. <br /> <br /> AN(JUN F <br /> $175.00 <br /> <br /> $~'t5 _0C <br /> $0.0o <br /> $175~00 <br /> <br /> $0.0o <br /> <br />RECEiPr NO: 36231 <br />TYPE: CK CHECK '~.* 2504 <br /> <br />NOTE: THIS (X)~ NOT GRA~T OR II~OLY P~l~tJ55.11]~ TO ~ILD ~ THIS P~. P~l~ ~D <br />~ST~TI~ ~I~ ~T 8E ~TAiN~ 8~ ~I~i~ ~ ~TIC iNSTA~I~ B~INS. <br /> <br /> PLAN R~Z~H: BY .................. OA~E ................. CliY JUR~SQIC]I~: BY ............. 0A~ .............. <br /> R~RKS: ~F~ EVAL ~2504 <br /> <br />r-o~a # M~ ~S.~.~V ~ OFFICE COPY <br /> <br /> <br />