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MARION COUNTY BUILDING iNSPECTiON
<br />SENATOR BLDG. NO, ¢'25
<br />220 HIGH STREET NE
<br /> SALEM, OREGON 97301
<br />
<br /> PHONE 588-6147
<br />CODE-A-PHONE 4:30 RM. - 8;00 A,M,
<br />
<br />DATE: 10/11/89 TIME: 11:22:25e
<br /> DAVIS, DANIAL
<br />
<br /> RESIDENTIAL.
<br />
<br />CONSTRUCTION TYPE'. OCCUPANCY:
<br />
<br /> 11041 ARNDT RD NE
<br />AURORA OR 9?002
<br />
<br />MAILING ADDRESS:
<br />
<br />MARION COUNTY NO
<br /> NO, OF 8EDHOOfCS
<br />
<br /> 3
<br />
<br />SUBDIVISION:
<br />
<br />SAIvlE
<br />678-1056
<br />PHONE:
<br />
<br />240 714 171360.
<br />
<br /> SITE NUMBER: 8584
<br /> VALUATION:
<br />
<br />$S
<br />SF NO NO
<br />
<br />MAP:
<br />
<br />TYPE; ON-SITE SEWAGE
<br />
<br />PERMIT OR APPLICATION NO:
<br />
<br />CONTRACTOR, NO.
<br />DAVIS, DANIAL
<br />SAME
<br />678-1056
<br />PHONE;
<br />
<br />19486
<br />
<br />WATER SUPPLY: PW
<br />TEST HOLES READY;
<br />SITE EVALUATION NUMBER:
<br />EXISTING TANK SIZE:
<br />EXIST,INGDRAIN:FIELD LINES:
<br />SEPTIC TANK PUMPED:
<br />PREVIOUS NO. BEDROOf4S:
<br />
<br /> ITB~f
<br />REPAIR
<br />
<br />,TOTAL ,ASSE,,,~S. ED FEES'
<br />~REVI.Ot~ 'RECEIPTS
<br />THIS RECEIPT
<br />
<br />BALANCE DUE
<br />
<br />OUANTITY AMOUNT
<br /> 1 $80,00
<br />
<br /> ~80-00
<br /> 80-00
<br /> $0.00
<br />
<br />$0.00
<br />
<br />PAYEE: ,, ,RECEIPT NO:
<br />RECEIVED BY: c] .... ?YPE~::':":,,: ~CHECK ~t:
<br />SEE ATTACHED ~UMENT FOR (~'~¢NtS,~Og,,:"~m$~, S~AgE,,,,,,~X~E~.
<br />
<br /> ~, '"?~: ~' ,,,' %,,, ,,,, ~,, ,;,, ,,:, , , , ,
<br />
<br />REMARKS: DRAINFIELD REPAIR R~7843
<br />DONALD E. NOODLEY, MARION COUNTY BOILDING OFFICIAL / BY
<br />
<br />OFFICE COPY
<br />
<br />
<br />
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