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MAR~ON COUNTY BUILDING INSPECTION <br />S;CNAT©R BLDG,, NO 225 <br />220 HIGH @TREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE:588-5147 8:00.4:30 <br />24 HOUR CODE-A-PHONE; 588-7904 <br /> <br />03/29/91 TIM6: '11:23;32 <br />YOJMAJ~, TOM <br /> <br />RES10ENI <br /> <br /> 11115 JAM~.~ hL~Y ,~E <br />AUM,~Vi LLE OR [J 'j' ,?, rJ S <br /> <br />P.O. ~OX 632 <br /> <br />7 29 <br /> <br />TYPE: C~N-SZ'FE SEWAGE <br /> <br />PER~I r OR APPL. ICATI(~N NO: <br /> <br />~T~C foR. NO. <br /> <br />P.O. 80X 632 <br /> <br />~E: 769~7544 <br /> <br />31028 <br /> <br />MA.RiCN COUNTY NO <br /> <br />C/~IELLIA H~IGHI$ ~3 <br /> <br /> VALUATION: <br /> <br /> 85 lW <br /> AC NO <br /> <br />[AATER ~JPPLY~ ~ <br />TE~I' HOLES R~ADY: <br /> <br /> 12539 <br /> <br /> RA 48 <br />NO <br /> <br />$1"r~ 6¥ALUATION NUF~;3~R: 0AMELLIA HEiGHf <br />P-,.~iSIING TANK SIZE: <br />tE~I$'FIN6 DRAIN FIELD LINh'~: <br />SEPIlC T~K ~MPEO: <br /> <br /> iTEM QUANTIIY <br /> SFANI,~RO ON-SI'IE SYS'f'PJ'4 <br /> <br /> TOTAL ~EO F'EE~ <br /> PR~I~ R~EI PTS <br /> THI~ RE~[ PT <br /> <br /> SAUCE ~E $0.00 <br /> PAY~gI: REC~i PI NO: <br /> <br />~ THI~ i5 A V~IO PE~ZT ~ THIS ~T ~iR~ 360 ~ ~ i~ I~E ~TE. IF <br />~T~CTI~ FAt~ ~o ~ ALL ~R~ OF ~TATE ~ ~D ~RI~ ~NTY BU[~NG ~D <br />Z~[NG ORD[N~C~. TH~ PE~JT ~L B~ NULL ~D <br /> <br />AIvY, DUN1 <br /> $165.00 <br /> <br /> ~165.00 <br /> 1~5.~0 <br /> $o.oo <br /> <br />REMARKS: SEPTIC .(NSTALLAFJON P~3529 <br /> <br />DONALD ¢-. ~OODL~¥, MARioN COUN1Y 8UiLDIN6 OFF'ICJ. AL / BY .......................................... <br /> <br />or~ ~ ~c ~s s~ R~.V /.o OFFICE COPY <br /> <br /> <br />