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MARION COUNTY BUILDING INSPECTION <br />S~NATOR BLDG. NO,, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />DATE ...... <br /> <br />ow~t~ATE: 04/25/91 T D~IE: <br /> <br />s~TuS *oo~:s~ARTY' PATRICK <br /> <br /> 305 LAKE, CREST <br />L)ETROI T <br /> <br />5631 C/~CADE $'l <br />NB'! L1NN, OR 9?068 <br />PHONE: 656-455? <br /> <br />110 ............ <br /> <br />TYPE*. ON--~ITE 8~'WACE <br /> <br />PE~JVlIF OR APPLICATION NO: 90317?9 <br /> <br />(.,hONfRACIOR, NO. 36421 <br />rEWINdS BACKHOE SERVICE <br />P+O, 80X 465 <br />D~fROI1, OREGON 9?342 <br /> <br />WATER ~JPPLY: CH <br />T~ST HOLES READY= WiLL CALL <br />SiTE EVALUATION NUt4CER: <br />EXiSTiNG T~K SIZE: <br />~IST/NG O~iN FIELD LIN~: <br />SEPi'iC T~K ~MPED: <br /> <br />.,~ ."'"bTM ~ ,pR~..I['CU$ RECEIPTS <br />Z~,~' "tHiS RF_.C~I P'r <br /> <br />QUAN]Ify At, lOUNf <br />1 <br />3 $375.00 <br /> <br /> $285.00 <br /> $0.00 <br /> $285_00 <br /> <br /> BALN'4CE DUE $0.00 <br /> <br />PAYEE: CARRY, PAT~iG"K,/ INVOICE NO 33554 <br />RECEIVED BY= PR ~_~./_. ~ ' . . TYPE: IN CHECK ~; 0 <br /> <br /> THIS DO~ NOT GR~NT OR IMPIcy PE'~ISSI~N TO B~iLD C~ THIS PARCEL. PLANNING AND <br />CON~TI~jclrION p~I~ ~T BE ~?AiNEO I~-OP.E i~JiLD~N6 OR.SEPTIC fN~IALLAT~ON B~NS, <br /> <br /> RETV~RKS: ~iTE E"VAL & SYSTFJ~ INSTALLAFI(~N <br /> <br />~o~u · uc~-s~Ev *,~ OFFICE COPY <br /> <br /> <br />