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MARION COUNTY. BUILDING INSPECTION <br />~NATO~I E~LDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 888-5147 <br />CODE-A-PHONE 4:30 RM. - 8:00 A.M. <br /> <br />°w~$NTE: O8/16/89 TIME; 10;03.'5Ba <br />S~TUS ~DDREssH IVELEY, DELBEATE <br /> <br />14070 CESSNA ST NE <br />ArC,ORA OR 97002 <br />USE OF 8U~LDING~ <br /> <br />PO 8OX 565 <br />NILSONVILLE OR 970?0 <br />PHONE: 68275858 <br /> <br /> SUN~ETffc38ILEPARK <br /> <br />SITE NUMBER: 4986 <br />~ANG~ALUATION:zONE: MAP: <br /> <br />3 <br /> <br />W~DTM: $ O~'TN, 1 ^~EA: 02 UNITS: 4S IRREG LOT: 1W CORN~H: AR <br /> <br /> .... 70 .100 7000.00 , SF --,, NO .... NO~, <br /> <br />3 <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO; <br /> <br />9018173 <br /> <br />CONTRACTOR, NO. <br />HIVELEY, DELBEATE <br />PO SOX 565 <br />WZLSONVILLE OR 97B70 ' <br />PHONE: 682~5858 <br /> <br />MATER ,f~PPLY: <br />TEST HOLES READY: <br />SITE EVALUATION NUfV~ER: <br />EXISTING'TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: ?-20-88 <br />PREVIOUS NO. <br /> <br /> ITEM QUANTITY AMOUNT <br />AUTHORIZATION NOTICE - FLO- 1 $105_00 <br /> <br /> :!, 'OTAL ¢~SESSED FEES $105. OD <br /> PREVIOUS RECEIPTS $0.00 <br /> :::: THIS RECEIPT $105.00 <br /> <br /> BALANCE E~JE $O.OO <br /> <br />PAYEE-' HIVELEY. OJ~I,~,~--A~TE RECEIPT NO: 19283 <br />RECEIVED ~Y.- .P~ /-"~ ~ T¥~:;~CK CHECK ~: 231 <br /> <br />~ THIS IS NOT A PE~IT. ~HI'~=:~$~ ~ST ~ A R~I~ P~ ~ERE ~E <br />FOLL~ING ~ST SE R~SI~ILI~ OE:~E ,APPOINT TO ~RE ~AT <br />ALL N~ARY INFO~TI~- ; <br /> <br />PLAN REVIEW: BY .... DATE CITY JURISDICTION: BY DATE ........ <br />REMARKS: ALITH ~7919 ~ <br /> <br /> <br />