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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH STREET NB <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 RM. - 8:00 A.M. <br /> <br /> DATE: 06/28/89 TIME: 11:30:37~ <br />s, lus ^~sR[s~,.ANTON, DWIGHT <br /> <br />CONSTRUCTION TYPE~ 20448-~000 occu~,,cv <br /> <br />RESIDENTIAL <br /> <br /> 14874 K~SEL COURT NE <br />u*¢~,~l~: OR 9?002 <br /> <br />AURORA NO <br /> <br /> 9 <br /> ~AsEL COURT <br /> <br />'**'~ALUATION: zo~; <br /> <br />9 1 12 4S <br /> <br />TYPE: ON-S~TE SEWAGE <br /> <br />PEP24IT OR APPLICATION NO: 9017079 <br /> <br />CONTRACTOR. NO+ 35815 <br />CANBY EXCAVAT[NG <br />122 NE 4TH <br />CANBY. OREC",",","~N 97002 <br />PHONE: 266~2792 <br /> <br />WATER SUPPLY: CN <br />TEST HOLES READY: <br />SITEEVALLIATION NUFI~ER: 11133 <br />~XISTING TANK SIZE{ <br />EXISTING DRAIN FIELD LINE~: <br />SEPTIC TANK PU~PED: <br />PREVIOUS NO. 8ED~(X3"IS: <br /> <br />R-1 3 <br /> <br /> ITEM o.~ QUANTITY AMOUNT <br />STANDARD ON~SITE SYSTEM ' $1S5.00 <br /> <br />BALANCE DUE $0.0( <br /> <br />PAYEE: LAWTON, D~IGHT INVOICE NO.- 18160 <br />RECEIVED BY: cl TYPE: IN CHECK ~: <br /> <br />SEE ATTACNED DOCUMENT ~OR REQUIRF~ENTS OF ON-SITE SEtAAGE SYSTEM. <br />~ ~S ~S NOT A PE~T. ~ ~ L~T~ ~ST ~,~ A,,,'R~ ~ ~BRE ~E <br />FOLdiNG ~ST BE ~PL~ED. ~T ~S ~E R~L~ OP,~E APPL~T TO <br />ALL NEC~RY INF~TI~ H~ BE~ P~VIDED. : <br /> <br />PI~N REVIEW: BY ..... DATE ~2~0 oz~ JURISDZCTI~: 8Y DATE <br />RE~RKS: PER~IT <br /> <br />OFF;CE CO;":' <br /> <br /> <br />