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MARION COUNTY BUILDING INSPECTION <br />S~NATOR 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 />BABER~ D~VID & j~N~T <br /> <br />CATEGORY', <br /> R~[SIDENT ~L. <br /> <br />AUMSVILLE OR <br /> <br /> PHONE: <br /> <br />..... <br /> <br /> TYPE: ON-SiTE <br /> <br /> PERNTT OR APPLICATION riO: <br /> <br /> CONIRACIOR, i10. 04184 <br /> Adolph H Schar~'F <br /> 15~ Cordon Rd NE <br /> <br />SE. <br /> NARION COUNTY NO <br /> <br />588-8155 VALUATION~ <br /> ................................................................., SECTION: ~WNSHIP; :-6i~'~ .................. "7.'~ ~"~ .............. <br /> <br /> ,.. ' ....... ' <br /> ~. 1 N0 NO <br /> <br /> WATER SUPPLY: PW <br /> TE~T HOLES READY: <br /> 9~47146 ~ITE EVALUATION NUMBER: <br /> EXISTING TANK SIZe: <br /> EXISTING ~RAIN FIELD LINE. S: <br /> SEPTIC TANK PU~PED: <br /> PREVIOUS NO. BEDROoMS~ <br /> <br />ITEM QUANTITY AMOUNT' <br />REPAIR - NINOR 1 $85.08 <br /> <br /> TOTAL ASSESSED FE~S <br /> PREVIOUS RECEIPT8 $0.00 <br /> THI~ ~EC, EIPT <br /> <br /> BALANCE DUE $0.00 <br />P~YEE: Adcl~h H Sch~r~f REOEJPT NO: 49400 <br />RECEIVE~ BY. PM TYPE: CA CHECK 8: 0 <br />SEE ATTACHED DOCUMENT ~OE R£QU~EEH~NT~ OF QN-SIT~ ~EWAGE SYST~M~ <br />~ THIS IS MOT A PERMIT. THIS APPL CATI_.0~, MOST 0 R R- E~ P s ~ R <br /> <br />REMARKS: REP~MIN <br /> <br />CITY JURI.S~IClION. BY DA'f'E.. <br /> <br />OFFICECOPY <br /> <br /> <br />