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MARION COUNTY BUILDING INSPECTION <br />SENATO~ BLDg, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 888-5147 <br />CODE-A-PHONE 4:30 P,M. · 8:00 A.M. <br /> <br />01/03/$0 TIME: '15:32:15 <br /> <br />,~MITHo. EDWARD L <br /> <br /> ~HAH ~ARE RD <br />ADMSV~LLE OR <br /> <br />: TAk LOT: <br /> <br />............... M~TON"CX:XJNTY ' ' ': NO <br /> <br />WIDTH: DEPTH; ' AREA: <br /> <br />TYPE~ ON~j[TE SEWAGE <br />PERMIT OR APPLICATION NO: 9021116 <br /> <br />CONTI:D~CTOR, NO. <br />SMITH, EDWARD L. <br />C/O RON ~ENTZ 133 W. REGIS ST <br />STAY~?~I. OR 97383 <br />C~tONE. 769-6355 <br /> <br />CAY~GORY: <br /> <br /> R~_.~IDENTIAL <br />OCCUPANCY: <br /> <br />:OCCUPANT LOAD: <br /> <br /> SITE NUt/J~ER: g152 <br /> <br />HATER ~PPLY: ~ ~ ~4 ~ <br /> <br />~ISTI~ D~IN FIELD LINES: <br />S~TIC T~K ~EO~ <br />PR~[~S NO. BED~: <br /> <br />,~( YE ATI ~ ...... , $175_00 <br /> ~ ,TOTAL '.AE~ED FEEE~ $175.00 <br /> ~/ ' PR~I~S RECEIPTS $0.00 <br /> ~ ~IS RECEIPT $175_00 <br /> <br /> SAUCE ~E $0_ O0 <br />PAYEE: ~I~, E~~ R~EIPT NO: 22394 <br />RECEIVED BY: PR~t~ , .. ~PE:, CK. ~K ~ 1963 <br /> <br />~EE A~A~ED ~M~T ~R RE~I~ OF ~'ITE S~E <br /> <br />NOTE: THIS DOES NOT C-~ OR II~PLY I~I~E~iON TO BIJILD ON ,THIS PARCEL, PLACatING AND <br />C~NSTRUCTION PER~IT~ BE OBTAINED BEFORE BUILDING OR SEPTIC INSTALLATIGN BEGINS, <br /> PLAN REVIEW: BY~ DATE '{-('~)-~ CITY JURISDICTION: BY DATE ..... <br /> REMARKS; SITE EVAL 1~6710 <br /> <br /> <br />