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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG., NO, 225 <br />22O HIGH STREET NE <br /> SALEM. oREGON 97301 <br /> <br />PHONE: 588-5147 8:00 - 4:30 · <br />HOUR CODE-A-PHONE: 588-7904 <br /> <br /> I have reaa ~nd agree ~5 {~ i~r~ S~ated on the reverse eide of: DAT~; ........................................... <br /> <br /> OAT6:09/29/92 TIME: 9:24:~5 <br />J~WNE~: ...................................................................................................................................... : TAX LOT; ¢~k~ORf: ' <br /> KLE]N~ LARRY i 56401000 'RESIDENTIAL <br /> <br /> AUMSV]LLE OR 97~25 <br /> <br /> PHON~: 749~2405 ~ V~LU~TZO'N~ ' <br /> <br /> ' T 30 ' ' ' 48 <br /> ' 3. = ~C. : NO ~ NO <br /> <br /> TYPE: O~-SIT[ sEi~E NRTER 'SUPPLY: PN <br /> TEST HOLES RE~DY; <br /> PERR[T OR APPLICATION NO: 42507 SIT/ EVALUATION <br /> EXZST]NG T~N~ <br /> CONTRACTOR, NO. EXISTIN~ DRAIN FIELD LINES: <br /> KLEIN, LARRY SEPTIC T~flK PUMP~D~ 9-16-92 <br /> 9804 HILL CREEK RO SE PREVIOUS, NO. B,~OROOMS: <br /> ~UHSVILLE, OR <br /> PHONE: 749-2405 <br /> <br /> ITEH ..... ,, ,. QUANTITY ~MOUNT <br /> A~THORZZ~T~ON NOTICE - FLO."VISIT ', .... [ <br /> <br /> · . "..' "'PREVYI OUS" .REDE I.P TSl: $130. O0 <br /> . THZ S'..'~CE-I P T: ..~-. $0,00 <br /> B~LANCE DUE $0. DO <br /> PAYEE ...... <br /> ".. REOEIPT NO- <br /> <br /> ZTS <br /> ISSUE <br /> O~TE <br /> CONSTRUCTION F~ILS TO HEET ~bE,;REQUIeEMEN.~$,,,OE,,,,.ST~.~,E:,',L~H~',RND M~ION COUNTY BOILOI~G <br /> ZONING ORDINRMOES, THIS. PRAM'IT SH~L BE~OME,¢,NULL, <br /> <br /> R~NARKS; AUTH TO HOOK TO EXISTING SYSTEM <br /> DONALD E. WOOOLEY, MARION COuNtY BUI[-OIN~'.OFFICIAL / BY <br /> <br />/ <br /> <br />OFFICE COPY <br /> <br /> <br />