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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: 558-5t'47 8:00- 4:30 <br />24 HOUR CODE-A-pHONE: 588-7904 <br /> <br /> KAILEY,~ JOHN H. 747~,1~, . , RESIDENTIAL <br /> <br /> 794~ STO~EFZEL~ CT · sE .oo~c~: : ...................... u~:' <br /> <br /> flU~SVILLE ' OR 97~25 ~'H~R]ON COUNTY· <br />~'u~-d~ "~t'L6J'~ ................................. ' , <br /> <br /> PHONE: ~4S=6222 ' VALUATION: <br /> : . , 1.5 ' AC H~ ..... ..___._NO ............. <br /> <br />TYPE~ OR-SITE <br /> <br />PER~IT OR APPLICATION <br /> <br />~OHTRACTOR. NO. <br />KAILEY. JOHN M, <br />79~0 STONEFIELD CT SE, ' ..... <br />AOMS¥ILLE OR <br />PHONE: 945-6222 <br /> <br />48973 <br /> <br /> I ~ATER SUPPLYt PW <br />· ~ TEST HOLES READY: YES <br /> ~ SITE EVALUATION NUMBER: <br /> ~ EXISTING TANK SIZE: <br /> ~ EXISTING DRAIN FIELD LINES: <br /> ~.SEPTIC.TANK. PUMPED: <br /> 'l' PREVIOUS NO, BEDROOMS: <br /> <br /> ITEA ,,, ' ' ' , , ' QUANT I TY AHOUNT <br />SITE EVALUATION~ FIRST LO~ " 1 $265.~0 <br /> · TOT, AL ASSESSED FEES $265.00 <br /> ', PR~.¥ ~,OUS REBEIPTS $265. BB <br /> <br /> ,' <br /> <br />PAYEE: -.' ........ ",.....' .... ' ...... .' RECEIPT NO~ <br />RECEIVE~ BY: P~ , ~.. . .-, ~..,...,..,~'~'"'"": ......... .-..,,, , ",, ' ,' TYPE: CHECK ~ ~ <br /> <br />REHARKS: SE. HARGINAL ,FOR,, SAND ,FILTER PLUS, FULL, CAPF']!NG. FELl_. STAI(EOU'i" /I~D. ,~ % <br />D~NALD E. WOODLEY, HgRIOIq COUNTY ..... ~UILDING OFFt~IAL / ~Y ................ ~/.,i,.~,~X~,.! ....... <br /> <br />OFFICE COPY <br /> <br /> <br />