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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: S88-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />registered builder, <br /> <br />°W~R;DATE~ O&/:tT/94 l'Z~i' Z~: 13:21 <br />~i?Us A~[fCC'rT LAKE'HAR:rNA/HTEBERT'DON <br /> <br />1t5 BREITENBUSH RD <br /> <br />CON~R~C~ 6i~¢' UGg : 6~C'UPANT LOAD; <br /> <br />· DEq~BO-I¥- .............NO. <br /> <br />: ~AIt. ING' A O 6~'Es~: <br /> <br /> HAMMOND <br /> DETROIT LAKE MARINA <br /> DETROIT,~OREGON 97342 SITE NUMBER: 94-82~78 <br /> PHONE: 854-3423 VALUATION: <br /> <br />...... 1~ ..- .,' ............. ~ .......... ~el-e~ :- ......... SF <br /> <br />I ' ' NO ...................... NO ....... <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERHiT OR APPLICATION NO: ?~§5966 <br /> <br />CONTRACTOR~ NO. <br />DETROIT LAKE MARINA/HIEBERT DON <br />DETROIT LAKE MARINA <br />DETROIT~ OREGON 97342 <br />PNONE: 854--;~427 <br /> <br />WATER SUPPLY: CW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPI'lO TANK PUMPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM <br />AIJTHORIZATION NOTICE - FIELD VISIT <br /> <br />OOANTITY AMOUNT <br /> i $160.0~ <br /> <br /> TOTAL,'A8SES~ED,:FEES $].60.,08 <br /> -PREVtOU$"RECEIPTS $0.00 <br /> THI,~:-RECEIPT $1&0.00 <br /> <br /> PAYEE~ DE1RO1T LAKE MARINGZ~IEBEE~,,DDN¢'.-, .... , ..........., . INVOICE NO: 58;93 <br /> <br />FOLLOWING MU.~T BE COMPLETED. IT' ES THE RESPONSIBILITY OF THE AFPL. ICANT TO AooURE THA,' <br />ALL NECESSARY INFORMATION HAS BEEN PROVIDED. <br /> <br />i::'LAI,I REV]:EW; I~Y cITY JURISDICTION: BY <br />REMARKS: A.J;W/V[SIF - RESTROOM ADD & REMODEL DETROIT 'LAKE FISHING RFSORT <br /> <br />DATE ...................... <br /> <br /> OFFICE COPY <br />~M # MC 15-56 REV. 4/90 <br /> <br /> <br />