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MARION COUNTY BUILDING INSPECTtON <br />SENATOR I~LDC~'~'~ 2¢'5 <br />220 HIGH~TREE-t' NE <br /> SALEM= OF~GON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 AM - 8:00 <br /> <br /> Ot~r ~ ,,, <br /> <br />DATE: 07/18/89 TIME: 1:08:37p <br /> NACK, THOMAS <br /> <br />TAX LOT <br /> 81575-000 <br /> <br />RE'~ ] DENT ~ <br /> <br /> 10384 ~E~T STAYTCt4 RD SE <br />AUN~V~ LLE OR g7325 <br /> <br />MAR:ION COUNTY NO <br /> <br />PHONE: 749-2548 <br /> <br />TYPE: C~N-$2 TE <br /> <br />PERMIT OR APPLICATION <br /> <br />PHONE: <br /> <br />10. BO00 <br /> <br />17363 <br /> <br /> SITE NUMBER: 7539 <br /> VALUAT [0N .- <br /> <br /> AC NO NO <br /> <br />HATER SUPPLY: <br />TEST HOLE~ READY: <br />SITE ~VALUATION <br />EXZST[NGTANK <br />EXISTING DRAIN FIELD <br />SEPTIC TANK PLJIv~PED.. <br />PREVIOU~ NO, <br /> <br /> ITE~4 <br />ANNUAL ~AL. ~ T~P OR HI:E~HP blH <br /> <br />TOTAL' AE~ED FEES <br />PREVIC~ REG~I PTS <br />THIS RECEIPT <br /> <br />8ALANO~ DUE <br /> <br />1 $60. O0 <br /> <br />I60,00 <br /> ~0,00 <br /> $0.00 <br /> <br />$o.00 <br /> <br />~EE: . <br /> IVIED BY: EX4 ' TYPE~ N : <br /> RECEIPT <br /> .... . - =:... ..... CHECK <br />SEE A~eO ~T ~ ~~TS OF ~T~ S~E:S~T~:.... , <br /> <br />Z~I~ ~I~, ~IS ~T'~ e~ ~ ~O: ~ID. <br /> <br />R6NAR~St 2BO~ MONO & 4BORN' RES R~781~ ANNUAl_ ~F. PTIC FOR HAROSHIP <br /> <br />DONALD E, NOODLEY, ~tARION COUNTY BUILDING OFF~[CIAL / BY <br /> <br /> <br />