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MARION COUNTY BUILDING INSPECTION <br />SENATOR 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 />SIGNAT~R~ OF APPLICANT,. ........... <br /> OATE:: ..................... <br /> <br />OATE~ 05/07/91 <br /> <br /> CLARK, AL & F~AREN <br /> <br /> 125 N. eur"rl~ E~T <br />OETRO! 1 <br /> <br /> ,, 90221-565 RE~IOEN1 ii <br /> <br /> -- j CONTRACT CITY' ~ '["b~l~- ' ............... !-~',~UPANT LO~D: <br />OR <br /> ........................... J~I-T- ........... ~ ~ ;- ~ NO 6~ BEDROOM~ <br /> <br />P,O, 8OX 363 <br />iDANHA, OR 9?350 <br />PHONE: 854-3459 <br /> <br />I OT 8LOGK <br /> <br /> 30 <br /> <br /> ~ SITE NU~dBER: 12903 <br /> . vALUAT ION: <br /> ' SI~T-~ (~1~- ........ "~V6 ~'~)'PiF ........ ~ ............................ <br />t 1 ~ ............. ~ .....~ .............. lO.,, ] .................. 5E..j ....................... ~ : <br /> 100 ~ 121o0.J. SF ': NO ~ Y~ <br /> <br />TYPE= <br /> <br />PE,',~I'F OR APPLICATION NO: 9032023 <br /> <br />CONTRACTOR. NO. 36421 <br />KE¥.!.N',,~ BACF~HOE SERVICE <br />P,O. BOX 465 <br />DETROll', OREGON 97342 <br /> <br />MATER E~JPPLY: CW <br />TE~T HOLEE~ READY; <br />SITE EVALUATION NU~ER: <br />~XI~TING T~K SIZE: <br />~I~TING ~IN FIELD LIN~: <br />~EPTIC T~K ~MPED~ <br /> <br /> ~ ,[OU~,'RECEJPT$ <br /> THiS RECE'~PT ' <br /> <br />~'~CE <br /> <br />1 <br /> <br />INVOICE NO: <br />IN CHECK <br /> <br /> ANOUNT <br /> $8o.oo <br /> <br /> $80.00 <br /> $o.oo <br /> $80.00 <br /> <br /> $0.00 <br /> <br />33812 <br /> 0 <br /> <br />OFFICE COPY <br /> <br /> <br />