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MARION COUNTY BUILDING INSPECTION <br />SENATOR B~C_,,~. NO. 225 <br />220 HIGH'STREEt' N~ <br /> SALEM, ORE,~.ON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am performing work on a property I own or occupy, <br />I am a registered builder OR ( ) the authorized representative <br />of a registered builder, <br />The work will be performed by a registered builder. <br />Other <br />I have read and agree to the terms stated on the reverse side of <br />this document. <br /> <br />°w~;~l'E: 08/23/90 'I'%ME: 15:37;10 <br /> <br /> SITUS ^DDnESI~;RAF'T, JOYCE ;~ 'r6RRY <br /> <br /> TAX LOT: <br /> <br />: CONSTRgCTIoN TYPE: <br /> <br /> ! CONYRACT Cl~Y~ gGg <br /> 18425 BU'rTE¥1LLE ROAD NE <br />vs~i~; O 9'~082 <br /> ~Ri~ ~NTY NO <br /> <br />CATEGORY: <br /> <br />OOCUPANCY: RE!SI DENT iAL <br /> <br />OCCUPANT LOAD: <br /> <br />PHONE: 981T0934 <br /> <br />WIO'I'H: DEPTH: <br /> <br /> , SITE NUMF~ER: 10984 <br /> SECTION: TOWNSHIP: RAN~bUAT I~: : Z~NE: MAP: <br /> <br />~AR~A; ~ U~ITS: ~ : IRR~G LOT: ~ CORNER; ~FU 9 <br /> ~O:~ .AC NO NO <br /> <br /> TYPE.* ON-SiTE SEWAGE WATER SUPPLY: <br /> TF_J~'F HOLE~ READY: <br /> PE~i1' OR APPLi~'f'I~ NO: 9026542 ~ITE ~ALUATi~ NU~ER: <br /> ~i~TiNG T~K 8lZE~ 500 <br /> <br /> K~F'r, J~CE & TERRY SEPTIC T~K ~MPEO= 8/1~90 <br /> PR~I~S NO. <br /> <br /> ~E: 981-093& <br /> <br /> J 'rE~ ~T J TY ~N T <br /> AU'rHORIZATI~ NOTICE - FLD. VISIT I $105.00 <br /> TOTAL ~EO ¢E~ $105~00 <br /> PREW1~S RECEi PT8 $0.00 <br /> THIS RECEIPT $305.00 <br /> <br />  BA~CE ~E $0.00 <br /> PAYEE: K~FT, JOYCE & TER~ RECEIPT NO: 28243 <br /> R~EIVEB BY: ~2 ................................................ TYPE= CK ~K ~ 2947 <br /> <br /> 3EE A'rTA~EO ~'r FOR RE~IR~T8 OF ~ITE SEWAGE <br /> <br />~ THI5 18 NOT A ~T+ ~I~ A~LI~TI~ ~ST ~ TH~ A ~i~ ~ ~E THE <br />~L~I~ ~ST BE ~LET~. I~:18 ~HE ~iBILI~Y ~ THE ~I~T TO ~ THAT <br /> <br />PLAN RE¥1E3N,. BY .............. DATE .... <br /> <br />REMARKS: AUTH - FIELD VISIT ~8761 <br /> <br />CITY JURISOICTION: BY OATE <br /> <br />OFF[CE COPY <br /> <br /> <br />