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¥ <br />MARION COUNTY BUILDING INSPECTION <br />SENATOR ~,LDG P~>. 225 <br />220 HIGH ;~TREET NE <br /> SALEM, OREGON 87301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:80 P.M - 8:00 A.M. <br /> <br />DAT~. 07/12/89 TIHE: 11,25.'43a <br /> <br /> 10384 WE~T STAYTON RD SE <br />ALNSV I LLE O~ 9?325 <br /> <br />PHONE: 749-2548 <br /> <br />10.0000 <br /> <br />TYPE: 0N-SITE SENAGE <br />PERMIT OR APPLICATION NO: 9017363 <br />C(~TRACTOR ~ NO. <br /> <br />PHONE ~ 749-254.8 <br /> <br />ANNUAL EVAL, ~ TEHI~ OR HD~HP I~H <br /> <br /> SITE NUf*I~ER = ?539 <br /> VALUATION: <br /> <br />AC NO NO <br /> <br />WA~ER ,~JPPLY: PW <br />TE~T HOLES READY: <br />SITE EVALUATION NU~ER: <br />EXISTING TANK SIZE, <br />EX~[$TING DRAIN FIE[.D LINES~ <br />· ~EPTIC TANK PUMPED~ 5-?-85 <br />PREViCUS NO. <br /> <br />~l~ EECEI PT~ <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br /> RECEX PT NO= <br /> <br />1 $60.00 <br /> <br /> $60.00 <br /> $0 + O0 <br /> $60, O0 <br /> <br />$0,o0 <br /> <br />PAYEE: MACK, THOMAS ~ 1~463 <br />RE~I~[IVEO I~t': ~ ............. ~ .TYf~: CK ~K ~: 3171 <br /> <br />SEE A~EO ~T F~ ~I~TS <br /> <br />~ R~Y~ ~Y ~ ~TE ~-I CI~ JURI~CTI~: BY DATE <br />R~R~: 25D~ ~O & 40~ R~ ~781g ~NUAL SEPTIC ~R HAR~IP <br /> <br />FO~* ~C ,s,~ m~fv ,,~ OFFICe. COPY <br /> <br /> <br />