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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 ~;88-5147 <br /> CODE-A-PHONE 4;30 P.M. - 8:00 A,M. <br /> <br />DATE: O9/01/87 TIME: 12:55:48p <br />OWNER: i TAX LO'C: ', 0ATEoOB¥: <br /> DALKE, DAVID 6'~ :350-000 , <br /> <br />S~TUS AD~ESS: ~ CONSTRICTION TYP[: ; OCCUPANCY: <br /> <br /> 9824 WEST STAYTON RD SE i CONTRACT CITY'. T' UCC: i OCCUPAN+ L~AD: <br /> OR 9?325 ' i <br /> ~ZO~., ~U~Z~......J.......~O ~ <br /> <br />MAILINOADDRESB: SINGLEFArfl~LYDNELLINGS .......... iSO~'Ci~i~; .................... <br /> <br /> SAME <br /> <br />PHONE: SITE NUMBER: 2289 <br /> VALUATION: <br />LOT: BLOCK: SECTION: iTM I RANGE: I'~8'~;i iMAP: <br /> i i 9s ! EFu <br /> <br /> { 2.00000 AC NO NO <br /> <br />TYPE; ON-,SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: 3933 <br /> <br />C(~TRACTOR, NO- 53478 <br />SUNRISE INV~TNENTS <br />PO BOX 58 <br />TURNER, OREGON 9?392 <br />PNONE: 743-2131 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING BRA~N FIELD LINES: <br />SEPTIC TANK F~MPBD: <br />PREVIOUS NO. BEDROOiv~: <br /> <br /> ITEM QUANT I TY AMOUNT <br />ALTERAT ~ON · 'l $ 100.00 <br /> OTA : ,FBES os <br /> ' ~REV~S RECEIPTS $100_00 <br /> , THIS RECEIPT ; $0. O0 <br /> <br /> ~AL~CE OUE '::' $O. 00 <br /> <br /> RECEIPT NO; <br />PA ~E: <br /> <br />· ~[S [SA VALZD PE~ZT * ~[S ~F~ :~TS [~E ~TE- <br /> <br /> I¸; <br /> <br />REMARKS: ALTERAT}:ON F~235 , ~ <br /> <br />DONALD E. NQODL. EY, ~ARION COUNTY BUILDING OFFICIAL / BY <br /> <br />.o*~ ~ ~; ~,~.~e ~EV ~/~7 OFFICE COPY <br /> <br /> <br />