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PHONE 588-5147 <br />CODE-A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br />MAR~ON COUNTY ~UILDI-NG INSPECTION <br /> SENATOR BLDG. NO. 225 <br /> 220 H~GH STREET <br /> SALEM, OREGON 97301 <br /> <br />DATE'. <br /> <br /> 0t/$0/90 TI,NEt 't0= 3~: 0~ .... ~AX LOT: CATEGORY; <br /> ~VZ~, J~ G R~ID~TIAL <br /> <br />:DET~IT OR 97D42 ~ <br /> <br />!P.O. BOX 592 <br />PHONE: <br /> <br />SITE NU~ER** 9324 <br />....... VALUATION; <br /> <br />100 <br /> <br />SO00 ! NO J NO <br /> <br />105 <br /> <br />TYPE: ON-SITE SEWAGE <br />PEf:~IlT OR APPLICATION NO: 9021580 <br /> <br />CONTP. ACTOR, NO. <br />,DAVIO~:)N, J.N~IEE~ G <br />P.O. BOX 592 <br /> <br />PH(~E., <br /> <br /> ITEM <br />AUTHOR~ZATZON NOTZCE - FLD, <br /> <br /> ~TER E~JPPLY: C~ <br /> TEST HOLES REAl%Y: <br />SITE EVALUATION NUMBER: <br />D(ISTING TANK SIZE= <br />EX[STING DP, A[N FIELD LINES= <br />SEPTIC TANK PUMPED: 9-19-89 <br />PREV~OU~ NO. BEDROOD1S.~ <br /> <br /> qUANTITY AMOONT <br /> 1 $1 o$.00 <br /> <br /> I: ~ ~\v TOTAL ~ED FEES $105. O0 <br /> PR~ ~IP~ $0, O0 <br /> $0.00 <br /> <br />PAYEE: · INVOICE NO: <br /> <br />SEE All'ACHED ~ENT FOR RE(~JZR~ Of ON-SITE S~ <br /> <br />PLAN REV~B4: BY,,_.~_ OAT~,~"O~"'~~) CITY JURISDICTION.' BY · <br />P, ENARKS: AUTH <br /> <br />~C~RM ~ ~C TSrF~ ~V e/o;' OFFICE COPY <br /> <br /> <br />