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MARION COUNTY E~UILDiNG INSPECTION <br />SENATOR i~LDG,, NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P.M, - B:O0 A,M, <br /> <br />$1GNATUR~ 0t~ APPLICANT <br /> <br /> DATE! <br /> <br />DATE: 11/13/89 TIME= <br /> <br /> DIETRICH, GEORGE & NOLA <br /> <br /> LOT <br />C~S~RU~TION TYPE <br /> <br /> 10577 ~TAYTCN RD <br />AU~4~VILLE OR 9?325 <br /> <br /> c6h~CYc~W:: ' ' ' <br />~t~J~IQN -COJNS~¢ - NO <br /> <br /> PHONE: 769-2707 <br /> <br />LOT: BLOCK SECTION <br /> <br />TYPE: ~N-$ITE SEWAGE <br /> <br />PE~;~IIT OR APPLICATION NO~ <br /> <br />CONTRACTOR, NO. 34glBP~2 <br />STAYTON MILL CITY SILVER31~N <br />41155 STAYTCt~ ~CIO DRIVE. SE <br />~TAYTON, OR~ g7~3 <br />PHONE: 769-2302 <br /> <br /> ITEM <br />REPAIR - ~JOR <br /> <br />17. , gS <br /> <br />l~gag <br /> <br />SITE NUi~ER: 87~5 <br />VALUATION: <br /> <br /> ~,,~oi 1N - <br /> NO : NO <br /> <br />~TER~JPPLY: <br />TE~THOL~ READY: <br />SITE EVALUATiON NU,Fi~E~: <br />EXISTING TANK SIZE. <br />EXIST[N~ DRAIN FIELD LIN~: <br />SEPTIC TANK PUMPEO: <br />pREV~CU$ NO- BEDROOMs: <br /> <br />PAYEE= <br />~ECEIVED BY: ¢1 <br /> <br />TOTAL A~SE~ED FEES <br />PREVICU~ RECEIPT~ <br />THIS RECEIPT <br /> <br />BALANCE ~UE <br /> <br /> ~JANTITY AMOJNT <br /> 1 <br /> <br /> $80.00 <br /> $0.00 <br /> $0.00 <br /> <br />RECEIPT NO: <br /> <br /> TYPE: CHECK g: <br /> <br />SEE ATTACHED DOCUMENT FOR RF_J~J;~RE~ENT$ OF ~-S~TE S~GE ~T~_ <br />....... ....... ............. <br />~ ~IS ~S A VALID ~T ~ ~ ~[T ~60 [~ I ~TE. IF <br />~=I~ FAI~ TO ~ ALL ~~ OF ~ATE ~ ~O ~ ~ ~,~I~ ~D <br />Z~I~ ORDIN~C~, ~IS ~.IT ~LL ~O ~IO. <br /> <br />~EMARK~: MAJOR REPAIR TANK & DRA~NFLD R~t7941 <br /> <br />DCNALD E. IdOODLEY. 1'4AR[CN C(~NTY BUILDING OFFICIAL / BY .......... <br /> <br /> <br />