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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br />DATE; 0g/05/89 T~ME: 1:30:1413 <br /> <br /> PHONE <br />~ODE-A-PHONE 4:30 P.M. - 8:00 <br /> <br />550~4-000 RESI D~NTIA[ <br /> <br />AUME, V~LLE OR 97325 <br /> ~ARJC~ COUNTY NO <br /> <br />2~15 HAW'i'HORNE <br />.SALEM 97303 <br />PHONE: 588-6659 <br /> <br />TYPE: CN-SITE SEWAGE <br /> <br /> tB 8~ <br />^"~ 33.0000 UN~TS" <br /> AC <br /> <br />P~F,~T OR APPLICATION NO: <br /> <br />CONTRACTOR. NO. <br /> <br />2915 HAkfTHORNE <br />~LEN ~7303 <br /> <br />901093~ <br /> <br /> ITE~ <br />SITE EVAUJATIC~, FIF~T LOT <br /> <br />SITE NUN~ER: VALUATION <br /> <br />HATER D~UPPLY: P~ <br />TE-'~T HOL~ READY: Y~ <br />~iTE EVAUJATICN NUNBER~ <br />~ZSTI~ <br /> <br />SEPTIC T~ <br />PR~I~ NQ~ 8ED~: <br /> <br />TOTAL A,SE,~ED <br />THIS RECEIPT <br /> <br />BALANCE <br /> <br />QUANTITY /~3UNT <br /> ~ $175.00 <br /> <br /> $175.oo <br /> SO.OO <br /> $175.00 <br /> <br /> $o.00 <br /> <br />PAYEE~ SHAH. SAt4 ~.~-'~ RECEIPT NO; 11654 <br />~ECEIVEO BY; ~ -- ~ ~PE: CA CHECK ~: 0 <br /> <br />~EE A~EO ~T FOR ~IR~T8 OF ~iTE S~E ~TEM. <br /> <br />NOTE: THIS DOES NOT ~ OR IF~I_y PEI~I~I~ TO I~J[LD ON ~IS P~L- ~Z~ ~D <br /> <br /> <br />