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MARION COUNTY BUILDING INSPECTION <br />SENATOR SLDG, NO,, 225 <br />220 HIGH STREET NE <br /> SALEM. OREGON 97301 <br /> <br /> PHONE: 588-5147 8;00- 4:30 <br />24 HOUR CODE-A-PHONE: 588-7g04 <br /> <br />ow.~rE= O5/15/91 Ttl~11~: 10:20:15 ' ~AX L(~T~" <br /> HAK, MYRON & GEN~-~V.[EVE <br />sil'tJ~ ADDRESS ..................... ~ (~(~N'~"R~CT~ON TYP~= <br /> <br /> DATEGOR¥ <br />75301-020 RE.SIDENTi <br /> <br /> 8325 RED~IQOO OR <br />AU~ISV,[ LLE OR 97325 <br /> <br />~RI-ON .COUNTY <br /> <br />NO <br /> <br />4- <br /> <br />ANTHf,,,~Y ~.J~NNtZZO - ~RDTHER <br />,?~AL, Ebl BROTHER~-3?8-1570 <br />PHC~IE: B 18-845-5764 <br /> <br />1~ 8$ <br />5.18 AC <br /> <br />SITE NUIVi~ER; 9620 <br /> VALUAT ! C~q: <br /> <br /> 2W AR3 <br /> NO ! Y E,.,f~ <br /> <br />WATIER E~JPPLY.' ~ <br />TE:~T HOLE~5 ~EADY; <br />SITE[ I~'VALUATI~t.I NU~ER= <br />EXISTING T~K SIZE: <br />~I~TiNG DRAIN FIELD LiNE~: <br />SEPTIC r~K PU~D: <br />PREVIOU'~ NO. B1EOROOI~IS~ <br /> <br /> ITE:M QU.a~iT r 'FY AMOUNT <br />STANOARO ON-X~JLTE 8~'i'EM I $165.00 <br /> TOT~ ~ FE~ $165.00 <br /> ~PR~I~ R~I PT~ $0.00 <br /> THIS ~IPT $165. O0 <br /> ,, ~ BA~ ~E $0.00 <br /> <br />R~EJVEO ~Y- ~2 t.~ TYPE: OK ~CK <br /> <br />R~,7,t~RKDS: NE"'~I OI~NEI~ ~ N~ PER~IT <br /> <br />CiTY JURI~DICTICN: BY ............... OA'I'E ............ <br /> <br />OFFICE COPY <br /> <br /> <br />