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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: 588-5147 8:00 - 4:30 <br />24 HoUR CODE-A-PHONE: 588-7904 <br /> <br />01/30/91 <br /> <br />ri~: 11:29546 <br /> <br />20537 CA5~ RO N~ <br /> <br />~IAR ION COUNTY' <br /> <br />NO <br /> <br />CATEGORY <br /> <br />OCCUPANCY RS~I DEN ( 1 <br /> <br />O~GUPANY LOAD <br /> <br />PHONE: 678~5687 <br /> <br />SITE NUMBERs 12015 <br />~..~ALUAT lr.~l t zONE <br /> <br />EFU ~ <br /> <br />]YPE; ON-"SiTE ~EWAGE <br /> <br />PEt',,~411 OR APPblCATION NO: <br /> <br />OONFP. ACtOR, NO, <br />L~, ELGA <br /> <br />PHON~; 678-5~87 <br /> <br />29553 <br /> <br />WAIERSUPPLY: <br />TE,~T HOLE~ READY: <br />SiTE EVALUATION NUMBER: <br />PJ~i~TING [ANK SIZE: <br />E~iSTING DRAIN FIELD LiNE~S: <br />~EPTIC TANK PU~PED: WILL HAVE f.X.}NE <br />PREVI1DU~ NO. BED~: ~ <br /> <br /> i1~M <br />AUTHORiZArlON NOTICE - FLO. V~Sl't <br /> <br /> ~ANliTY <br /> 1 $105.00 <br /> <br />]OTAL A,,,~:~ FE~ $105.00 <br />PROW I ~S ~Cel PTS $105.00 <br />THiS R~EIPT <br /> <br />  BALANCE OUE $0, O0 <br /> PAYE6: RECEI PI NO: <br /> RSG~iVED BY;~ ~ TYPE: ~ECK ~: 0 <br /> <br />~ THI~ I~ A V~IO P~IT ~ THIS PE~IT ~I~ ~60 ~ ff~ IT8 I~¢ OATE. iF <br />~ST~Ti~ FAI~ TO ~ET ~L ~iR~T~ OF ~TATE ~ ~D ~RI~ ~NTY BUILDING ~D <br />Z~iNG ORDI~C~, THIS ~iT ~LL 8E~ NU~ ~O ~ID, <br /> <br />REMARK,~: ~.PTIC AUrH - FIELD Vi~,'[ R~456 .mlOSILE PLACED 1985 <br /> <br />bVJNALD E. I,',EK3DLE~Y, MARION COUNTY BUiLDiNG ,.(~_FICIAL / 8Y .............................. <br /> <br />¢oa~, ~(, ~-~ ~sv .~ OFFICE COPY <br /> <br /> <br />