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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, ORr~GON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />EtJ~NKS, JZ~ ' <br /> <br /> I <br /> <br /> bt::TRDIT OR 97342 ~--DETROIT ~ <br /> <br /> ~ACKEY CREEK <br /> 252? COF;'FIEY I,.,H <br /> <br /> Pl.{ONE: 787,-~86=32~)8 : VALUATION: <br /> <br />237, 54518. ~ SF' ~ NO ; YES <br /> <br />TYPE= ON-S:[TE ~EWAGE <br /> <br />PERH:[T OR APPLICATION <br /> <br />CON1RACt'OR,, I*1% <br />I!?.U~ANK,~, J1H <br />252? COF'F'EY L.N <br /> <br />9857036 <br /> <br />WATER SIJPPLY: CW <br />TFSI' HOLES REAl)Y: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE,~ <br />EXI~I'~NG gRAIN FIELD {.INEt: <br />SEPTIC TANK PUMF'EI): <br />PREVIOUS NO, BE~ROC)MS~ 2 <br /> <br /> SANTA ROSA~ CA 9540;~ <br /> PHONE: 707-51.~6-;¢280 <br /> <br /> ~ ~ TOTAL ASgESSED FEES $255.. <br /> PREVIOUS RECEIPTS <br /> <br /> 8AL:ANCE OUE <br /> PA~[..;E~ EUBANKS, J:[H INVOJ~O: , 59?49 <br /> <br /> S:'~: ATTACHED DOLUN~NF FOR REDU.(RENENTS :OF ON-SITE SEWA~E ~JYSTEM. <br /> <br />~ THIS IS ~OT A ~R~ZT, THIS ~P~LI~T[DH HUST ~O THROUGH A REVIEW P~OCESS W~ERE THE <br />~,'O[.LO[~N~ HUST BE COHPLE'fEb. ~'l' ~S THE RE~F'OHS:E~ZL~TY OF TNE ~PPLZC~NT TO ~SSURE THOr' <br />('1...I.. NECIESSARY .~NFORMAT~ON HAS BEEN PROV[DF:~. ' <br /> <br /> ~t.611 REVIEW: }.Y DA,:. C]:TT ,JUR].SDICIION. ~¢Y DATE <br /> RE~A~KS: SS ALT <br /> <br />OFFICE COPY <br /> <br /> <br />