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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 2P5 <br />220 HIG, H STREET hie <br /> SALEM, OREGON 97,301 <br /> <br /> PHONE 5~8-5147 <br />CODE-A-PHONE 4;30 P.M. - 8:00 <br /> <br />0ATE: 12129/6? TINE= <br /> WI L.SON, vIvIAN <br /> <br /> 10752 LEVERI~N~ RD YE ~'~Sh¥~[c'F~rR,; ..... ~ d~: <br /> 97325 <br />~V~LLE OR ~ <br /> <br />10772 LEVEI;;~IAN ROAD SE <br />AUN~V~LLE 97325 <br />PHCNE. 749-1319 <br /> <br />1 52.' 2gp <br />': ....................... i ................................. Lo,: 66, 51-ooo R <br /> .... i CONSrnUCT,ON 'rVPi: "FT06Ui'^NC¥/ <br /> <br /> ! VALUAT I ON: <br />eL~K: '~'ION: ' ~TOWNSHIP: ~ RANGE: , <br /> <br /> :A~EA: ............................... 5~800,0 ~UN*TS=V ......... ~ ,~ mREG, COT= NO" ~tOO~:NO <br /> <br />LOT, <br /> <br />WIOTH: <br /> <br />147 i 400 <br /> <br />TYPE: ON-SITE <br /> <br />PErMiT OR APPL~CATZON NO: <br /> <br />CONTRACTOR, NO. <br /> <br />10772 LEVEt~N~ ROAD SE <br />AU~VILLE 97326 <br />PHONE; 749-131g <br /> <br /> ITEN , <br />SE ~ 6 fC~N'rl-~ oLD <br /> <br />3 <br /> <br />9006087 <br /> <br />HATER SUPPLY: P~ <br />TE~T HOLFR READY: <br />SITE EVALUATION NUMBER; 5683 <br />EXISTING TANK SIZE.' <br />EXISTING DRAIN FIELD LINE~: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDRCO~4~: O <br /> <br />AtVOJNT <br /> $65.00 <br /> <br /> $65.00 <br /> $0. O0 <br /> $65. O0 <br /> <br />$0.00 <br /> <br />PAYEE: WIL~5ON, VIVIAN ...., ........ , RECEIPT NO= 6668 <br />RECEIVED 8Y~ c] ,.' "'" <br /> .... ~ ,t~- ...... TYPE: CK CHECK ~t: 255? <br /> <br />PLAN REVIEN: 8y <br />RE~ARI~: PEF~,II T <br /> <br />DATE~ :""" CIl~(' JU'RZSDICTION; BY <br /> <br />DATE <br /> <br /> <br />