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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97'301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />DATE: <br /> <br />i °w~eAi DATI.',':: 09/I ~;/9;.~ ....... '. <br />, I.[HE. 6=57: :J,O <br />SlTtJS AOI~R_E~H'_-']¢::~ PHILLIP & KATHERINE c°B~B~PE: °~NTIAL <br />:l. 3e /13e 1/2 ERI~ 9'f <br /> <br />MA~LiNG A00¢lES8!,- SU~DlVtSi6N: ~ <br /> <br /> CLESTER ADD'r TIOI,I <br />5018 ])ANIEL ST S <br />.~ALEM 9730&,.. WK 588-8505 SITE NUMBER: <br /> <br /> , RANGE'. <br /> <br />TYPE: OH-$[TE SEWAEE <br /> <br />PERMIT OR APPLICATION NO: 9848481 <br /> I< ' t4' <br />(;O~TRACTOR, NO,, ¢_.V Lin, c <br />FISHER. PH~LLIP & KATHERINE <br />5818 DANIEL ST S <br />SALEM ~7~6 WK 588-8585 <br />PHONE: ~-~877 <br /> <br />WATER SUPPLY: CW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPE~: <br />PREVIOUS NO. BEDROOMS: 1 <br /> <br /> tTF'M QUANTITY AMOUNT <br /> REPAIR - MAJOR 1 $125.00 <br /> AU'FHORIZATION NOTICE - NO VISIT 1 $~5.00 <br /> <br /> TOTAL ASSESSED FEES $220.00 <br /> P~EVIO08 REGEIPT~ $168.88 <br /> THIS RECEIPT $8. ~ <br /> <br /> BALANCE BUR $68. e8 <br /> PAYEE. INV~ NO. <br /> <br /> $ THIS IS NOT A PERHiT. THIS APPLICATION ~UST 60 THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING NUST BE COMPLETED. IT IS THE EEBPONSIB]'.LITY OF THE APPLICANT TO ASSURE ~HAT <br />ALL NECESSARY IHFORHAT~:OH HAS BEEN PROVIDED. <br /> <br />REHARK,r.'i: AN/H JR R~.I-A].2 I.tEXT 'I. NSPE6., HDSF' RENEWAL 9-3-95 <br /> <br /> OFFICE COPY <br />FORM# MC 15-55 REV. 4/9o <br /> <br /> <br />