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r <br /> <br />MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, ~.~.,5 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 585-5147 <br />CODE-A-PHONE 4'30 RM. - 8:00 A.M <br /> <br />O~ 02/05/59 TIME: <br /> <br /> ~LBERS 0 r4ART IN <br /> <br /> 21942 AIEPORT R~ <br />AU~P.A <br /> <br />9?002 <br /> <br />NE <br /> <br />21572 AIRPORT RD NE <br />AURORA. OR 97002 <br />PHONE: <br /> <br />SITE NUN~ER: 5517 <br />~ATICN: zom~ <br /> <br />MAe <br /> <br />145 204 <br /> <br />12 <br /> <br />m~ ~."T 1~ co~.~. E-1 <br /> YES NO <br /> <br />TYPE: (~N~$ITE ,5~HA(~E <br /> <br />~l~;~tlT OR APPLICATION <br /> <br />CONTRACTOR, NO. <br />AL~E~, MARTIN <br />21872 AIRPORT RD NE <br />~EO~, O~ 9?002 <br /> <br />r~013914 ~ <br /> <br />NATER ,.9[JPPLY-- CH <br />T T HOLE,~ READY.' <br /> <br />EXISTING TANK BIZE, 1000 <br />EXISTING DP.A~N FIELD LINE~= <br />SEPTIC TANK PUMPED: GIVEN ~OP~ <br />PREVIOUS NO. BEDROONS: <br /> <br />375 <br /> <br /> qUANTITY <br />AUTHORIZATION NOTICE - PLO_ VISIT I <br /> <br />PREVIOUS RECEIP'T~ <br />THIS RECEIPT <br /> <br />~.L4NOE ~LIE <br /> <br />PAYEE: AL~ERS, HART[N INVOICE NO: <br />RECEIVED BY= g~ TYPE: IN CHECK <br /> <br />SEE ATTACHED DOCU~ENT FO~ EE~IREHENT$ OF CN-~ITE SE'NA~E ~-YSTEN. <br /> <br /> N~UNT <br /> $10B.00 <br /> <br /> $o.oo <br /> $105.00 <br /> <br /> $0.00 <br /> <br />14748 <br /> 0 <br /> <br />~ THIG I8 NOT A PER,lIT. THIS APPLICATION MUST GO THROUGH A R~VIE~ PROCE~ ~ THE <br />FOLLON1NG ~lJST BE C~IffPLETED. IT I8 THE RESPON~BILITY OF 'THE APPLICANT TO ~_q~LI~E 11-tAT <br />ALL NE~ INFORHATION ~ ~EEN PROVIDE!D,, <br /> <br />PLAN ~EVIEN~ 8Y_~ OATE..~.F~ [~"-~7~_ CITY JURISDICTION; ~Y~ DATE <br />REHARK~: AUTH, CREATE PAJ:~TITIONING <br /> <br /> <br />