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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 S;00 - 4:.30 <br /> ' 24 HOUR CODE-A-PHONE: 688-7904 <br />I am performing work on a property I own or occupy· · <br /> <br />Other ....... <br /> <br />'MAiLiNG AO~IRE~'. .................................... ! S~JBD~VISION; <br /> <br />3175 5TH ST . .......... <br />HUSSAR0 OR 9?0:]2 i <br />~-iONE: 981-307'4 51TE NUNBi <br /> VA~AT <br /> <br /> 2.75 , AC <br /> <br />TYPE: ON"SiI'E SEWAGE <br /> <br />PERtfllT OR APPLICATION NO: <br /> <br />CONTRACTOR, <br />TAUTPEE, T, RU.~.~ELL <br />3175 5TH ST <br />HUBBARD OR 97032 <br />PHONE= 981-3074 <br /> <br />~TER <br /> <br />539 <br /> <br /> I CORNER~ <br />NOi NO <br /> <br /> READY: MiLL ~J~LL <br /> <br /> TNflK SiZE~ <br /> DRAIN FIELD LINES: <br />TANK F~JMPED= <br /> NO. 8ED~: <br /> <br /> ITEI~ <br />SITE E~/ALUATION, FIRST LOT <br /> <br />PAYEE= <br />RECEIVED <br /> <br />SEE ATTACHED DOCUMENT <br /> <br /> QUANT i TY <br /> <br />TOTAL ASSESSED FEb <br />PREVIOUS RECEIPTS <br />THiS RECEIPT <br />BALANCE DUE <br /> <br />$375.00 <br /> <br />$~75.oo <br /> ~0.00 <br /> 0.00 <br /> <br />$~ 75.09 <br /> <br /> RECEIPT NO: <br />TYRE: CHECK ~: 0 <br /> <br />OF ON-SiTE <br /> <br />NOTE; THIS DOE~5 NOT <br />CONSTRUCTION <br /> <br /> PLAN REVIEW: 8Y <br /> RE?~R~: SiTE <br /> <br /> OR lt~Y P~I~iON TgBJILDON THIS PARCEL. PLANNING AND <br /> ~ ~TAIN~ 8~ BUI~ING OR S~TIC INSTAL~TI~ <br /> <br />EW R~ & 5EP'TiC TO REP~CE OLO R~ 8AL ~ <br /> <br /> <br />