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MAR]ON COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO 225 <br />220 HIGH 3TREET NE <br /> SALEM, OREGON 97301 <br /> <br />PHONE: 588-5147 8:00-4:30 <br />HOUR CODE-A-PHON~: 585-7904 <br /> <br />DATE: ~0/2A/90 TIldE: 14:3~.'56 <br /> <br /> t4EOFORO, Ak~OL & ~IiLOREO <br /> <br /> 12207 O(3NALO RD NE <br />AURORA OR $?00~ <br /> <br />~4ARiON CO~N TY NO <br /> <br />LOT ~LOCA 3ECTiON <br /> <br /> P~f~ll OR APPL~CA~ i~ NO: 90282B6 <br /> <br /> ~T~TOR, NO. <br /> ~ED~RD. A~OL & ~LDRE~ <br /> <br /> ~ONE: 678-5408 <br /> <br /> $tT~ NUrfl~ER: 11561 <br /> VALUATION: <br /> <br /> AC Y~ NO <br />WATER ~JPPLY~ PW <br /> <br />TE~T HOLE~ RF_.AOY~ <br />$1T~ EVALUATION NL/f4BE~= <br />E)fLSTINS TANK SlZEz 1000 <br />P~/~TING DRAIN FIELD LtN~ <br />~EPTIC T~K ~PED; <br />PR~t~ NO~ BE0~: 2 <br /> <br />AurHORIZATiON NOTIC~ ~ P'LD, VlSIf¢~/ <br /> <br /> 1 $~o5.00 <br /> <br />TOTAL A,~EC:~BED FEES $10~.00 <br />P~EVIOU~ RECEIPT~ SO.OD <br />TH~S R~C~IPT $105+00 <br /> <br />~ ~E SO.00 <br /> <br /> PAYEE: t4EDFOR{), AR"VOL & MiLDReD REC. EiPT NO; <br /> RECEIVEO BY: PR ~PE: CA ¢~ ~: 1287 <br /> <br />~ THIS I~ ~T A PE~IT. ~15 ~I~TI~ ~T ~ TH~ A R~ P~ ~gg~ THE <br />FOLDING ~ST BE ~LETE0+ iT IS T~ ~IBILI~ OF ~E APPLI~T TO <br />ALL N~ IN~TI~ H~ 8~ <br /> <br />OFFICE COPY <br /> <br /> <br />