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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 <br />CODE-A-F~HONE 4:30 P.M, ' 8:00 A.M., <br /> <br /> I am performing work o¢~ a ¢,roPetty I Owft of' O~upy, ' <br /> I am a registered builder OR the authorlze~ represents Ire <br /> <br />OATE: 06/24/87 TINE: 9:54:09e <br /> <br />OWNER: SHELTQN, DAVID <br /> <br />¢qGNATURE 0¢ APPLICANT; <br /> DATE: <br /> <br />140 HUI'CE1U G <br /> <br />OR <br /> <br />CONSTRUCTION TYPE: <br /> <br />9?342 ' C0~.¥m~(3~ crrY: 0'<, 'ueB: <br /> ' ' ' SUaD~VlS]~ <br /> <br />N <br /> <br />LOT: SL~C~(! SECTION~ ' TOWNSHIP: <br /> ! <br /> <br />WiDtH: ~25 DE~'T~[ !00' AREA: <br /> <br /> TYPE :..0N%8 IT~IIII~A~E ......... <br /> PE~IT OR APPLICATI~ NO: · 2787 <br /> CONT~CTOR, NO. <br /> ~Iq~LTON, OAV~D <br /> <br />PhlONE: <br /> <br />SITE NUIV~ER z <br /> VALUATION <br /> <br /> RANGE: ZONe: <br /> 10 5E <br /> <br />~F IRREG. LOT: N' <br /> <br />1720' <br /> <br />MAP: <br /> <br />NAT~R ,,%.IpPLy: <br />· TEST HOLI~ READY: <br />SITE EVALUATION NUMBER: <br />{ EXISTING TANK ¢4tZE_- , <br />) EXI~S~TING DRAIN FIELD LINES, <br />,SEP.ZC TANK ¢~tJMPED: . <br />PR~C'VIOU$ NO. 8ED~331~. <br /> <br /> l T EM QUANT I TY A,~iN 'T <br />SITE EVALUATION. FIRST LOT 1 $165.00 <br /> <br />TOTAL ASSE'SS[O PEt. iS <br />:PED,,'IOUS RECEIPTS <br />TH~$ RECEZPT <br /> <br />SALANCE ~JE <br /> <br />$0.oo <br /> <br /> PAYEE: ~NVO[CE NO: <br /> R~CEIVED BY: c'i 'CdP'E: CHECK <br /> <br />NOTE~ THIS I;IOES NOT ~9~.NT ~OI~. ~l~'~',;.~~,~,di~lt,l-f-LD,'ON T'~I?$ PARCEL PL.AI~IfNG AND <br />CONSTRUCTION PERMITS MUST ...O~.TA][:RF-.~','.I~[P~ORE'.,,~:[i.,.D:[NG OR SEPTIC IN,STALLATION BEGINS. <br /> <br /> .... .. ...... ~..~ ,,,,.~' .~ ........ ,,,~! . <br />RED4ARKS: SE ' ' ' ....... ""~" ' ...... ' '."" ' ''=' <br /> <br />DCNALO E. NOODLEY, MARION ......... '""~ ....... ' <br /> <br /> <br />