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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />The work will be performed by a registered builder, <br />Other <br /> <br />this document. <br />1)A'TE:. 8~,/25/94 TIME: <br />HEININGE~ SCOT & CAROLYN RESIDENTIAL <br /> <br /> 15~68 SECOND ST NE <br /> AURO,A O~ 97~2 AORO~A ' ~NO' ~ ' <br /> L <br /> J <br /> <br /> ~... ,- ~([~V(~ O~ SITE H~B[R, 94-~$362 <br /> K~u~: 0~ Ob~/ ~0 ~i VALUATION. <br /> <br /> & ...................................... t ~ ~ .................................................... <br /> <br />TYPE: OH-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION ND: <br /> <br />CONTRACTOR. NO. <br />HEININGE. SCOT & CAROLYN <br />P.O-BOX 349 <br />AURORA~ OR <br />PHONE: 694-5667 ~ <br /> <br />9B525~t <br /> <br /> WATER SUPPLY: CW <br /> TEST HOLES READY: <br /> SITE EVALUATION NUMBER: 38887 <br /> EXISTING TANK SIZE: <br /> EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />h~:PREV,IOUS~,,NO; :,.BEDROOM 8: <br /> <br />SAND FILTER <br /> <br /> PAYEE: HEININGE. <br /> RECEIVED BY: PM,~,,:':' <br /> SEE ATTACHED DOCUMENT <br /> ~ THIS IS N~T A PERHIT; <br />FOLLOWING MUST BE COHPLE <br />ALL NECESSARY INFORHATIO~ <br /> <br />PLAN REVIEW: BY <br />REMARKS: <br /> <br /> $8.00 <br />$455,00 <br /> <br />$~.00 <br /> <br /> INVOICE NO: <br />TYPE: IN CHECK <br /> <br /> EVIE# PROCESS ~IHERE THE <br /> ~HE APPLICANT TO ASSURE THAT <br /> <br />:jIJ~[~,TCT ION.- BY .............. DATE ......... <br /> <br />~o.u # MC t~-~ ~, ~o OFFICE COPY <br /> <br /> <br />