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MARION ~COUNT. Y BUILDING INSPECTION <br />SE[.BIATOR J.~LOG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 PM. - 8:00 A,M. <br /> <br />8r~1 performing work On a property I own Or Occupy. <br />am a registered builder OR ( ttle authorized representative <br /> registered builder. <br /> <br /> 03/30/90 TIME: 13:28;46 <br /> <br /> VLAKYDA, WILLIAM <br /> <br />BITUS ADDRBBB: <br /> <br />DATE: <br /> <br />1200 <br /> <br />RESIDENTIAL~ <br /> <br /> 6?8 H/~IPDEN LANE <br />~LEM <br /> <br />OR 97305 <br /> <br />NE <br /> <br />CONTRACT CITY: UGB: <br />MARION C~JNTY NO <br /> <br />OCCUPANT LOAD: <br /> <br /> 2 <br /> <br />680 HAMPDEN LN4E NE <br />SALEM OR 9?305 ~ ~373-3915 <br />PHONE= 362-5293 <br /> <br />LOT: BLOCK: SECTION: <br /> <br />WIDTN: DEPTI4: <br /> lO0 <br /> <br /> AREA; <br />55O <br /> <br />28 <br /> <br />65000. <br /> <br /> SITE NU~ER= 9228 <br /> VA~TION: <br />TOWNSHIP: RANGE: ZONE: <br /> ?S 2N AR <br />UNJTB; IRRBG, MT: CORNBH: <br /> SI= NO NO <br /> <br />MAP: <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PE~IT CE APPLICATION NO: 9022878 <br /> <br />C~>~TP,~ACTOR, NO. 33289 <br />SCHARFF BROTHERS <br />150 CORDON ROAD NE <br />SALEM, OREGON 97301 <br />PHONE= 362~5568 <br /> <br /> ~TER SUPPLY: P~ <br /> TEST HOLES READY: <br /> SITE EVALUATION NUFBER: 31317 <br /> EXISTING TANK SIZE: <br />EXISTINGDRAIN.FI.ELD LINES= <br /> SEPTIC TANK PUMPED= <br /> PREVIOL~NO. BEDEO0~S~ <br /> <br /> ITE~ ~a~O <br />SE < 6 MONTHS OLD <br /> <br />PAYEE~ VLAKYDA. <br />RECEIVED BY: cl <br /> <br />SEE ATTACHED DOCUMENT FOR <br />~ THIS IS NOT A I~IT. <br /> <br />(~.JANTITY ANOUNT <br /> I $110.00 <br /> <br />~OTAL :.'ASSESSED 'FEES <br />~PEB/I01)$ RECEIPTS <br />THIS EECEIP? <br /> <br />$110.00 <br /> $0.00 <br />$110.00 <br /> <br />$0.00 <br /> <br />EECEI PT NO-' 24241 <br />CHECK ~: 1933 <br /> <br />FOLLI~INO I~UST BE ~,.{% <br />ALI_ NIB~E~iE~RY INFORI~T[ON HA~ <br /> <br /> ~ ,A,'REVYE~ PROCESS I~-IERE THE <br />[LITY EIF'THE ~PPLIC_4aClT TO ASE~JR~E THAT <br /> <br />PLAN REVIEW: 8Y_....~.,./~.,.,. .......... <br />RENARd= PEEf4IT <br /> <br />~o~ ~, ~c ~-5~ REV ,¢aa OFFICE C02Y <br /> <br /> <br />