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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO~ 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: .'5~-5147 8;00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />$t~*NATURE OF APPLICANT <br /> <br /> DATE:: <br /> <br />owN~TE: 07/Z3/91 Tt~** 16:59=57 <br /> <br /> CATT',S'-I UCKER ,. FR~=DER$CK <br /> <br />TAX LO~ <br /> <br />GONSTRUC¥10N TYP~: <br /> <br /> 18858 CA~E F~OAD NE <br />AURORA OR 97002 <br /> <br />:FiARION COUNTY'' <br /> <br />"CATEGORY <br /> <br /> 1524 SE ~TH <br /> PORTLANO 97215 <br /> PHONE: 236-6947 <br /> <br />LOT: <br /> <br />SECTION: <br />AREA <br /> <br />TYPE: ON-SI'rE ~ <br /> <br />PF"RffllT OR APPLiCAI"I~N NO+` <br /> <br />32770 <br /> <br />[~ATER E~JPPLY: P~ <br />TEST HOLE~ READY: <br />si'rE EVALUATION NUtWlBER: 85-354 <br />EXISTING TANK ~iZE: <br />EXISTING DRAIN FIELD LINES: <br />~EP"r[¢ TANK PUMPED: <br />PREVICNJS NO. BEDROOh~: <br /> <br /> [ rEH <br />,~:~N D FiLTER <br /> <br />PREVIOJS RECE,[PT$ <br />THIS RECEIPT <br /> <br />QUANr ! TY Nv~OUN 'r <br /> 1 $3oo.oo <br /> ~3oo.oo <br /> 30o_oo <br /> $o.oo <br /> <br />eALANCE CUE <br /> <br />PAYEE: RECEIPT NO: <br />REX3EiVED BY: OM2 TYPE= CHECK ~: 0 <br /> <br />SEE AI1ACHED ~MP_,,NT <br /> <br />OONALO E. ~*X3ODLEY. twtARION CY~JNTY BUiLDiNG OFFICIAL / BY ....................... <br /> <br />EORU ~ uC ~,~ REV ~o OFFICE COPY <br /> <br /> <br />