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MARION COUNTY <br /> Bt)ILl)IN(3 1N SPECT1ON <br />Senator Building · 220 High Street NE · Second Floor * Salem. Oregon 97301-3670 <br /> <br /> Office Hours: 8:00- 4:30 Phone: 588-5147 24 I-lour Cod¢-A-Phoacr 588-79(14 <br /> <br />DATEr 04/19/90 TIME: 10:55:17 <br /> <br /> VLAKYDA, WILLIAM <br /> <br />1200 <br /> <br />RESIDENTIAL <br /> <br /> 678 HAMPDEN LANE NE <br />SALEM OR 9?305 <br /> <br />MARION COUNTY <br /> <br />NO <br /> <br />880 HAMPDEN LANE NE <br />SALEN OR 97305 WK ~373-3915 <br />PHONE: 362-5293 <br /> <br />SITE NUI~ER: 9228 <br />VALUATION: <br /> <br />lOO 650 <br /> <br />28 7S 2W AR <br />65000+ SF NO NO <br /> <br />41 <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO; <br /> <br />CONTRACTOR. NO. 33289 <br />?~HARFF BROTHERS <br />150 CORDON ROAD NE <br />SALEM, OREGON 97301 <br />PHONE: 362~5568 <br /> <br />22570 <br /> <br />NATER SUPPLY: P~ <br />TEST HOLES READY= <br />SITE EVALUATION NUMBER: 21217 <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINF.~: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. 8ED~: <br /> <br /> ITEN qO/NNTITY <br />SE < B MONTHS OLD 1 <br /> <br />TOTAL A..c~,,qSEDFEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$11o.oo <br /> <br />$11o.o0 <br />$110.00 <br /> $0.oo <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: RECEIPT NO: <br /> <br /> RECEIVED BY: PR TYPE: CHECK :~t 0 <br /> <br /> SEE ATTACHEO OOOUMENT FOR f~EOUIREMENTS OF ~%ITE SEWAGE SYSTEM. <br /> <br />~ ~IS IS A VALID PE~IT * ~IS ~IT ~PI~ 360 ~ F~ ITS I~E ~TE. IF <br />~ST~I$ FAI~ TO ~ A~ ~i~ ~ STATE ~ ~D ~RI~ ~NW 8UI~I~ ~D <br />Z~ING O~IN~C~, ~IS P~IT ~ALL B~ ~ ~D ~ID. <br /> <br />REMARKS: PERMIT <br /> <br />DONALD E. b~DODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br /> <br />