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MARION COUNTY BUILDING INSPECTION <br />SENATOR I~LDG. NO- 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> pHONF 586-5147 <br />CODE-A-PHONE 4:30 P.M. - 8;00 A.M- <br /> <br />DATE.' 08/2:2/88 _T_[ME,: 12;$1=4~p <br /> <br /> STUART, D~NALD L <br /> <br /> 435 $/~TI/~I AVE <br />DETROIT OR 97342 <br /> <br /> BUiLDINg:: .................................. <br /> <br />6545 HAZELG~J~ RD NE <br />SALEN 9?305 <br />PHCNE ~ 393-8515 <br /> <br /> 50 ~ 140 <br /> <br />TYPE= 0N'~ITE SE1NAGE <br /> <br />PERMIT OR AI~ICATIiDN NO.. <br /> <br />sTUART, ~D L <br />6545 ~E~ ~ ~ <br />~L~ 97306 <br />~E~ 393~515 <br /> <br />3 10 <br />10365 <br /> <br />SITE NUIfl~ER; 5170 <br /> VALUATIO~: <br />RANGE. ZONe= ' ! MAR ~ <br /> 5E ......... J_ 105 <br /> YES NO <br /> <br />NATER SUPPLY: <br />TEST HOLE~ I;~d3Y: <br /> <br />SITE EVAL~TION N1JNBER: <br />EXISTING TANK SIZE: 500 <br />EXISTIN~ DRAIN FIELD LIN~: <br />S~TIC T~K ~ED~ <br />PR~I~ ~- 8ED~: <br /> <br /> ITEM <br />ALTERATION <br /> <br />QUANTITY 1 <br /> <br />TOTAL ~ED FEES <br />I:~EV I O1..~ REE;Ei PTS <br /> <br />DUE <br /> <br />~14~.00 <br />145.00 <br /> $0.00 <br /> <br /> $o.oo <br /> <br />PAYEE= INVOICE 1NO: <br />RE.C~IVED BY= ~l . "r'YPE: CHECK <br /> <br />~I~ FAI~ ~ ~i ~ ~Z~ OF STATE ~ ~O ~I~ <br /> <br />RENARKS: ALTERAT fCN ~,_ <br />00NALD E. NO00LEYo N/~ION COJNTY ~.IILDIN~ OFFICIAL / 8y <br /> <br />OFFICE COPY <br /> <br /> <br />