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MARION COUNTY BUILDING INSPECTION <br /> SENAT, OR BLDG. NO, 225 <br /> ~20 HIGN STREET NE <br /> SALEM, OREGON 97301 <br /> <br />PHONE: ~88-5147 8:00- 4:80 <br />HOUR CODE-A-PHONE', 588-7904. <br /> <br />AUNSVILLE <br /> <br />have read '~nd egree ~o the t~rms ~tst~ On the ~eveme s;de o O~; _ <br /> <br />DATE: 10/28/92 T~HE: 1~:55:28 <br /> ................ "Y~x' Ed~ .................. <br /> <br /> ...................... ,"~u~%biidN ~,. <br /> <br /> i RESIOENTIAL <br />..... ~CLIPANOY; <br /> <br />4 <br /> <br /> PHONE: 749-Z84L <br /> <br />TYPE: ON-SITE ~EW~CE <br /> <br />PERNIT OR ~PPLIC~TZON <br /> <br />F~GAN~ RICHARD <br /> <br />PHONE: 749-284Z <br /> <br />,UATION: <br /> <br />WATER SUPPLY: <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTIN8 TANK SIZE: <br />EXIST~N8 DRAIN FIELD LINES: <br />~8pTIC TANK PUMPED: <br />PEEVIOU~ NO. 8EDROOHC~ <br /> <br /> ITEM <br />AUTHORIZATION NOTICE - FLC yZSIT <br /> <br />PAYEE: <br />RECEIVED BY; CL <br /> <br />SEE ATTACHED <br /> <br />THIS IS NOT A <br /> <br />TOTAL AS$~SSEO FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br />BALANCE <br /> <br /> TYPE: <br />FOE REQUIREMENTS OF ON%8ITE SEWAGE SYSTEM. <br /> THI~ l~ A ~N~ELLAT[O~I IDOC~ENT. <br /> <br />AMOUNT <br /> <br />$0.00 <br /> <br />$0.00 <br />$0.00 <br /> <br />$0.00 <br /> <br />REMARKS: CA <br /> <br />OF UNI~UED APPLICATION 9045467 <br /> <br />OFFICE COPY <br /> <br /> <br />