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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97501 <br /> <br /> PHONE: 588-5147' 8:DO - 4:30 <br />· 24 HOUR CODE-A-PHONE: 5~-7904 <br /> <br /> DATE; 06124/93 T~ME: <br />!"{~/~'~ ........... T'~'~- LOT; <br /> LONG~ <br /> WILLIAM <br /> ............ ~U~ow <br /> <br /> ...... ~ .......................... <br /> <br /> i14~1 8TEINKAMP ~OAD SE ~ ...... <br /> AUMSV~LLE ~7325 SIT~ <br /> F'HONE:,, 749-1225 ~ VALUATION~ <br /> <br />.......... '"' "" '.. ~,~ ,-' ':.; S,' ....... ...; ........ ~.~'--~-' '~'~r .......... t ......... ~-, ..................... L....,~ ......... : ........ ~ ........,,. ........... ;~,. ....... ,;r ......... .... ....... } ........ <br /> <br />PERHIT OB APPLICATION NOn <br /> <br />CONI'RAC~OR~ NO. <br />LONG, <br />11481STEIhlKAHP ROAD SE <br />ALiMSVILLE ~7325 <br />PHONE~ <br /> <br />47475 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: 28248 <br />EX~TIN~ TANK SIZe: <br />EXISTING DRAIN F~ELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. B~DROO~S~ <br /> <br /> ITEM QUANTITY AMOUNT <br /> STA~,I~AR~ ON-BITE SYSTE~ 1 $255,0~ <br /> <br /> TH~S RECEIPT.. *8.80 <br /> ,.. ,'"'"'" L NCS'DOE,'. <br /> · . · RgCE)iPT NO: <br /> PAYEE: :;' ..;'',,~,,.L.>. ,,,, <br /> RECEIVED BY: PB TYPE: CHECK f:: B <br />5ER ATTACNED DOCUN~NT.P~R R~UtREMENT$ OF,QN-~I,T£ SBWAGE SYSTEM. <br />THIS lB A VALID PERMIT ~ TNl~ ~ERNiT EXP'IRES 3~ BAYS 'FRO IS ~AT <br />~u~,l,(~ u~iNANCE$~ TNtS PERM:T SHALL BECOM~ NULL AND .¥015,' ' - <br /> <br />MARtGN ,,O~.,..,Y SUILDING OFFICIAL / BY. <br /> <br />Ko.. # ~ ls~ n~v, ,, OFFICE COPY <br /> <br /> <br />