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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 lAM, - 8:00 A.M. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> DATE: <br /> <br />~: 02/16/90 TItlE: 10:56:33 <br /> R"rGDoN, ROBERT & MARY LOU <br />~ITUS ADDRESS; <br /> <br />TAX LOT: <br /> 40368000 <br />, CONSTRUCTION TYPE~ <br /> <br /> 21811 COLE LN <br />.~J ROP.,A <br /> <br />OR 9?002 <br /> <br />NE <br /> <br /> CONTRACT CITY: UGE[ <br /> <br />MAR~ON C~JNTY NO <br /> <br />PHONE.. 678-555"/ <br /> <br />LOT: 8LOCK; <br /> <br /> SITE NU~ER= <br /> VALUATION: <br /> S~CTION: TOWNSHIP: RANGE: <br /> <br /> AREA: 11 UN~YS~ ~'S IRREG. LOT: 1 ~/~ <br />183 8F YES <br /> <br />WICTH: <br /> <br />CATEGORY: <br /> RESIDENTIAL ~ ~', <br />OCCUPANCY: <br /> <br />NO OFBEDROOMS' <br /> <br /> 94,32 <br /> <br />ZONE: MAE: <br /> <br />~;ORNER:' EFU <br />YES <br /> <br />TYPE: ON"~ITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />RIGJC)CN, ROBERT & MARY <br /> <br />PHONE; 678-555? <br /> <br />21910 <br /> <br /> WATER SUPPLY= <br /> STEST HOLES READY t <br /> ITE EVALLIAT!rON NUI~IBER: <br />EXISTING TANK S~ZE~ <br />~I~IN~ D~IN' :FIE~D LIN~: <br />SEPTIC ~K ~O: <br />PR~I~ NO. BED~: <br /> <br />I TE'lvl QUANTITY NvIOUNI- <br />RE, PAIR - MAJOR 1 $80. O0 <br /> :':::; > $80. O0 <br /> $80~ O0 <br /> PT $0 O0 <br /> <br /> $o.oo <br /> <br />PAYEE .' '~ <br />RECEIVED BY*. ¢1 ',:; <br /> <br />SEE ATTACHED DOCUMENT FOR <br /> <br /> THIS IS A VALID PERi, iT * <br />O[/6"rRI~I'ION FAILS TO ~) <br />~IING ORDINals:Et, THIS PI~t~i[~T <br /> <br />~ ::AECEI pT NO: <br />: ONECK ~-. 0 <br /> <br /> DATE. IF <br />COJNTY BUILDING AND <br /> <br /> <br />