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MARION COUNTY BUILIDING INS~ECTION <br />SENATOR BLDG NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5t 47 8:00 * 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />0A'~P-:: 06/07/~11 TIME: 8:57:49 <br /> <br /> CA T T.~- TUCKER,. FREDE~,[CK,, <br /> <br />RE~iDE]N I <br /> <br />8858 C~,~E ~[~ NE 0ONTRACT CITY:: ' U~B <br /> OR <br /> 97002 <br /> ~IARI CJ~l CO~JNI¥ NO <br /> <br />1524 .'5,E 441H <br />PORTLAND 97215 <br /> <br /> SITE NU~'~ER: lOOlO <br /> VALUATION: <br /> <br />7.85 AC NO NO <br /> <br />IYPE: ON=',E~iI'E SE3NAGE <br /> <br />PERMI1 OR APPLICA'I"iON NOt <br /> <br />CQ~¥RACrOR, NO. <br />CATTS-TUCKER, FREDERICK <br />1624 SE 44TH <br />POR'FL.a~D 97215 <br />PHONE: 236-6947 <br /> <br />HAlER.SUPPLY: PH <br />Tb,~.T HOLES R.EAOY: <br />SITE EVALUATION NUIV~ER: 85-354 <br />EXISTING TANK SIZE: <br />~iSTING D~IN FIELD LiN~: <br />~EP'rlc T~K ~ED: <br /> <br />9032770 <br /> <br /> ~T~ ~T~ rY ~Nr <br />~D FILTER I $300.00 <br />,~ / ~ ~ / ~ ~ ~ TOTAL ~ED FE~ $300.00 <br />~ ~ ~/~ ~ ~ PR~i~$ R~EIPT8 $o. O0 <br /> $300. OD <br /> <br />P~EE ~ IUCKE~ FReDERiCK ~ RECEi PI N0 ~ 34583 <br />RECEIVED BY: ~ ~ TYPE: CK ~E~K ~ 4645 <br />~E AT'I'~ED ~T ~R ~IR~T5 OF ~ITE ~E 8YSr~. <br /> <br />R~RK,,S; HAND PILTER R~7693 <br /> <br />C~TY JU~iSDICIICN; BY ............... OAI~ ............... <br /> <br />~ ~ ac ~s,s~ n~ ,~m OFFICE COPY <br /> <br /> <br />