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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 />HOUR CODE-A-PHONE: 588-7904 <br /> <br />.ow,~A'f'E; 05/15/g2 TIME: <br /> <br /> 'ruoK~, WILLIAM <br /> <br />TAX LOT; <br /> <br /> 90221-~]0 <br /> <br /> CONTRACT CI't'Y~ . <br /> 2'10 ~'r IA~ AVE <br />DETROIT OR 9'13~2 <br /> .................. ; DETROit' ....... : ....... NO <br /> <br />· CATEGORY: <br /> <br /> RESI. O~Nq <br />'OCCV~'~c~= <br /> <br />3095 FiR TREE DR SE <br />~ALC-J~. OR <br />PHONE: 364-6261 <br /> <br />TYPE: ON-S,ITE SEWAGE <br /> <br />PEF~IIT OR APPLICATION NO: <br /> <br />Cct, r[RACTOR, NO. <br />?'UCKER~ WILLIAFI <br />,3095 FiR TREE DR SE <br />5ALEN, OR $'7301 <br /> <br />WATP=R SUPPLY: CW <br />T~T HOL[S REAOY: Y~ <br />SITE EVALUATION Nu~ER: <br />~iSTING T~K SIZE; <br />~iS'I'ING D~iN FIELD LIN~: <br />SEPTIC 'F~K <br /> <br /> 1'rP~4 (~JANTIIY AC4OUN'f <br />5i'1'~ EVALDA'I'iO~, FIRS9' LOT 1 $220.00 <br /> <br /> TOTAL ~ED FEE~ $220.00 <br /> PR~I~ REC~IPT~ SD. og <br /> THIS RECEIPT $220.00 <br /> <br /> SAUCE ~8 $0.00 <br /> <br /> 4~065 <br /> o <br /> <br />PAYEE'- TUCKER, ~iLLLAN [NVOLC~ NO: <br />RECEIVE0 BY: GL TYPE: ~N CHECK <br /> <br />NOTE_. THiS 10OE~ NOT Gl:ANT OR iMPLY PER~II,~SI~N TO BUILD ~ THIS PANEL. P~NING ~D <br />~ST~CTi~ PE~ITS ~T 8E ~TAiN~D BE~RE BUILDING OR ~EpTiC iNSTAL~TI~ BEgiNS, <br /> <br /> RE~RK5: S~ <br /> ~ALD E. ~DLEY, ~RI~ ~N]'Y BUiLDiNG OFFICIAL / 8Y ....... ~ ....................................... <br /> <br />OFFIC~ COPY <br /> <br /> <br />