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MARION COUNTY BUILDING iNSPECTION <br />SEi\IATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE~ ,~15.5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />Oth¢~ ................. <br /> <br /> DATE: 09/24/92 TIME; 16:20:56 <br /> <br />DATE: .......................... <br /> <br /> 1.5~33 0TTAW~Y R0 NE ............................................. ~SU~ANr LOAm <br />AURORA OR ~7002 ~UNTY ~ : <br /> <br />PO BOX ~64 ................................................................... <br />~UROR~, OR ~08~LE-784-2890 S~TE NUMBER: 92-0~928 <br />PHONE: 2~6-7059 V~LU~TION: <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLJCATION NO: <br /> <br />9042797 <br /> <br />CONTRACTOR, NO. <br />LADDIE SNODDERLY <br />PO BOX 364 <br />AURORA, OR MOBILE~78421890 <br />PHONE; 266-7059 <br /> <br />W~TER SUPPLY: PW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: 40116 <br />EXISTIN6 TANK SIZE; <br />EXISTINQ DRAIN FIELD LINES: <br />SEPTI~ TANK PUMPED: <br />PREVIOU~ NO_ B~DROOMS: <br /> <br /> ITEM QUANTITY AHOUNT <br /> STANDARD ON-SITE SYSTEM <br /> <br /> TOTAL A$SE$SEO FEES $21o.oo <br /> .PREVrOUS RECEIPT8 $0~0o <br /> THIS RECEIPT <br /> <br />  8ALANPE DUE $o~oo <br /> PAYEE: LAODIE SNOODERLY' " "'%\ \ . · RECEIPT NO: 44871 <br /> RECEIVE0 DY: 0H2 ....... =__'~f~-'----" TYPE: CK CHECK ~; 1282 <br /> <br />FOLLOWING MUST 8E COHPLETEO. IT IS THE RESPONSIBILITY OF THE 8PRL[CANT TO 8SSURE THaT <br />ALL NECESSARY INFORHATION MAS $EEN PROVIDED. <br /> <br />REMSRK$: STSNOAR~ SYSTEM <br /> <br />OFFICE COPY <br /> <br /> <br />