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MAHIUN L;UUNI Y I~UILI)II~i~.~ II~l~l-'l-t..lltJl~l <br /> SENATOR OLDS, NO. 225 <br /> 220 HiGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 5887514'7 8:00- 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />TntqLES~ CARL F, .[ .4~J~_-:~.l~ ............... i..RES'rD. ENT]'AL <br /> <br /> 1~ HURRAY ~N 7~2 ~ J <br /> AURORA OR, ~ i MAR[ON COUN~O..~ .. <br /> <br /> T~G~RD OR 97224~ ~~ ' ~ SITE ~H~ER~, <br /> <br />PHONE.' ~3~-4~44 ] ~ VALUATION-" <br /> <br /> TYPE= DN:SITE SEMP~E . i.WATER' SUPPLY: PW . <br /> ' ! . ; TEST HDLE~'REASY~' <br /> PEENIT OR ~PIPLIC~TiBH. NO~ ~a49774 .. i SI~E EVALUATION.'NUH~ER~ 83-i86~ <br /> i t EXISTIN~ TANK SIZE: <br /> CONTRACTOR. NO. i .EXISTIH6 DRAIN FiEL~ L~NE~: <br /> TOWLE$, CARL F. . . ~ ,~ .SF.P~TIC.TANK PUMPED. <br /> 12918 SW FISCHER R~.,~'~"'~", ...... ,~ .......................... , · PREV'IOB$ NO.. BEDROOMS: <br />"TIGARD OR ?7224' : .... ' ' ',, ' :" <br /> PHONEt ~3~-4B44 - ' '=" '' % <br /> <br /> · ITEM · <br />STANDARD ON-SITE <br /> <br /> PAYEE: CARL F <br /> R~IVED'.BY) <br /> SEE ATTACHED DOCUMEfl~' <br /> $ THIS'IS HOT,A <br />FOLLOWING MUST ~E <br />ALL NECESSARY <br /> <br />FEES <br /> <br />DUANTITY <br /> 1 <br /> <br /> RECE,,ZPT NO: <br />TYPE: CK CHECK <br /> <br /> AMOUNT <br /> $255.00 <br /> <br /> $255.00 <br /> $255.0~ <br /> <br />52141 <br /> <br /> :WHERE THE <br />TO ASSURE THAT <br /> <br />OFFICECOPY <br /> <br /> <br />