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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 <br />COOE-A-PHONE 4:30 P.M. - B:00 A.M. <br /> <br />Other <br /> <br /> this document. ~ <br /> <br />DATE~: 02/14/90 TIME: 12=32:34 <br /> SCHULTZ, ~RK & ~RIL~ <br /> <br /> TAX LOT; CATEGORY: <br /> g0160w180 RESIDENTIAL <br /> <br />AUEOI;~A NO <br /> SUBDIVISION: ~ <br /> <br /> 21533 LIBERTY ST NE <br />AURO~/~. OR 9?002 <br /> <br />MAILING ADDRESS: <br /> <br />PHONE t 67B-2.BB9 <br /> <br /> 12 <br /> 82 190 I S$80. <br /> <br /> SITE NU/v~ER: 9437 <br /> VALUAT I ON ** <br /> <br />4S <br />SF NO NO <br /> <br />MAP: <br /> <br />TYPE: ON'-~ITE SENAGE <br /> <br />PEEt, lIT OR APPLICATION NO: <br /> <br />CONTRACTOR,, ,NO. <br />~ULTZ, ~RK & ~RIL~ <br />~E <br /> <br />~E~ 678-2689 <br /> <br />9021921 <br /> <br />~TER E~UPPLY: <br />TEST HOLES READY: <br />SITE EVALUATION: NUFIBER** <br />EXISTING TANK SIZE: 700 <br />EXlST~[N~ DEA'tN: FI ELD LINES: <br />SEPTIC TANK PUMPED*' 10-24~85 <br />PREVIOUS NO. BEDROOMS: <br /> <br /> iTEN <br />EXISTING SYSTE]fl EVAL. RPT. <br /> <br />TOTA'L ~ED,, FE.E~: <br />Ic~REV,IOUS' RECEI P"r~ <br />THIS. RECEIPT <br /> <br />BA~ DUE <br /> <br /> PAYEE: SCHULTZ, NARK & ~RIE'YN INVOICE <br /> RECEIVED BY: PR TYP_E_=,.IN __C~.ECK <br /> SEE ATTACHEO ~T FO~ RE~R~IENT~'..OF ON~-~ITE <br /> <br />~ N~ Z~T~ H~ <br /> <br /> P~ R~[~: eY .... DATE~ <br /> RE~R~: EXIST SYST EVAL - L~. , <br /> <br /> AIVlOJNT <br /> $100.00 <br /> <br /> $1oo.oo <br /> $o.oo <br /> $100.00 <br /> <br /> $o.oo <br /> <br />2324? <br /> 0 <br /> <br />TO ASSURE THAT <br /> <br />CiTY':JuRi~D[¢T[ON BY DATE <br /> <br /> <br />