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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG,, NO, 225 <br />2;!0 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br /> <br />of a t~o s erad budder <br /> <br />04/29791 TI~: 10;13:10 <br />GEN~ZLER, DON <br /> <br />........ CONET~U~TION'~YP~ 'OCCUPANCY:: <br /> <br />RESI DEN'I <br /> <br /> 10523 PORTER R0 SE <br />AUMSViLLE OR 97325 <br /> <br />~kRl(~l ..G'OJNT¥ ~ <br /> <br />AU~¥~LLE <br /> <br /> Sll~ NU~ ER .* 10593 VALUAT I C~: <br /> <br />__5_ ............. 9S ............ 2,W EFU <br /> 65. AC NO ~ NO <br /> <br />· IYPE: CW-,~,I1E SEWAGE <br /> <br />p~F~Iv)IT O)~ APPLICAI[ON NO: 9031835 <br /> <br />CONTRACTOR, NO. <br />GENrZLER, DON <br />106~ PORf'ER R~ SE <br />AUrC~SVILLE <br />~q"(L.~E; 749-2640 <br /> <br />NA]Ir~R ~UPPLY: PN <br />TEST HOLE~ READY: <br />SITE ¢,'VALUAIIiON NU~4BER: <br />~Xi$'FZNG ")',~'4P; SIZE: looo <br />~iSTIN(~ BRAIN PIELO LINES: <br />SEPTIC TANK PUM~ED: NEW SYST~18/90 <br />PREVIOUS NO. ~EDROO¢4S: ~ <br /> <br />230 <br /> <br />AU~HORIZAIION NO)iCE - NO ViSiT <br /> <br /> QUAN'F i~ Y A~40ON r <br /> 1 $60.00 <br /> <br />TOTAL A~SESSED FEES $60. O0 <br />pREVIous RE~EJ PTs $o.00 <br />TH[5 ~EIPT $60.00 <br /> <br />8A~E ~E $0.O0 <br /> 33609 <br /> <br /> PAYEE,. GENTZLER, DON RECEIPT NO: <br /> RECEIVED BY: PR TYPE: CK CHECK ~; 3195 <br /> ~EE AllACHED DOCUMENT FOR RE(~JIREE~4EN~S O~ bN--.'~ITE SEt. GE SY~IE~I. <br />~ THIS 1S ~T A ~iT. THIS ~LI~TI~ ~T ~ ~ A R~i~ P~ ~E~ THE <br />~LL~ING ~ST BE ~PLETED. IT IS THE R~IBILITY ~ THE APPLI~T TO ~ <br />ALL N~ IN~T~ H~ 8E~ ~/DED. <br /> <br />PLAN REViEN: BY ................. DATE ................. <br /> <br />REFCRKS: SEPTIC AUIH NO-FiELO VISIT R~3577 <br /> <br />CITY JURiSDICTiON~ BY DAlE <br /> <br />OFFICE COPY <br /> <br /> <br />