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MARION COUNTY.BUILDING INSPECTION <br />S~NATOR BLDG NO- 2Z5 <br />220 HIGH STRF:ET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 5~8-5147 <br />CODE-A-I~HONE 4~30 PM- - 8'00 A M. <br /> <br />DATE: i0/12/89 T[ME~ ~ ~44 :"tO~ <br /> <br /> PICKEREL. EC~RT L <br /> <br /> 135 $ TULLE ST <br />DET~'OIT <br /> <br />97342 <br /> <br />P.O, 8OX 544 <br />DETROIT, OR 9?342 <br />PHONE: 8~4-3753 <br /> <br /> 11 1~ ! <br />wire. 1400~'T. 100 A}iEA 1 ~ 000 i 0iJNff[ <br /> <br />DETROIT <br /> <br />NO <br /> <br />105 <br /> <br />TYPE: ON-$;[TE SEWAGE <br /> <br />~>E~MIT OR APPLICATION NO: 90193?0 <br /> <br />CCNTPJ~TOR, NO. <br />PICKEREL. ROBERT L <br />P~O. BOX 5~¢ <br />DETROIT, OR g?S42 <br />PHCNE~ 85~-3753 <br /> <br />t~IATE~ ,~UPPLY"" ON: <br />TIi~3T HOLES I:~EADY: <br />3ITE ~¢ALUATION NUF~ER; <br />~[3TING T~ SIZE: 750 <br />~ISTING O~IN FIELD LIN~: <br />~PTIC T~K ~PED: N~E~ ~MP~O <br />PR~[~S NO, 8EO~: <br /> <br />~,EPAIR ~ MINOR <br />AUTHORIZATIO'I NOTICE - FLO~ VISIT <br /> <br />CtJANT ! TY ANCUNT <br />~ $55. oo <br />1 $105.00 <br /> <br />TOTAL A,..°~ES~ED FEES <br />PREVIOUS P. ECEIPTS <br />THZS RECEIPT <br /> <br />$160.00 <br /> $0. O0 <br /> <br />BALANCE DUE $160.00 <br /> <br />Pb~N REVIEH: BY ..... DATE~ <br />~FJ~ARKS: AUTH/ REPLACE TANK <br /> <br />CITY. JUEISD[CTION; 8Y .......... DATE <br /> <br />COPY <br /> <br /> <br />