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MARION COUNTY BUILDING <br /> SENATOR BLDG. NO. 225 <br /> 220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 RM. - 8:90 A,M. <br /> <br />~.A~-~: 02/23/90 TIME: 12~05:38 <br /> <br />S~TUS *~sD~HULT;[, MARK ~ MAR;fLYN <br /> <br />21533 LIBERTY ST NE <br /> <br /> CONSTRUCTION TYPE: 96 "[ SO-- 180 <br /> <br />AURORA NO <br /> <br />occu~',~o¥: RESIDENTIAL <br /> <br />SAME <br /> <br />PHONE: 678-2689 <br />LOT: 8LOCK: <br /> <br />SITE NUMBER: 9437 <br />~LUATION: ZONE: <br /> <br />MAP: <br /> <br />UNITE: <br /> 4S <br /> <br /> 8F <br /> <br />NO NO <br /> <br />TYPE.* ON-SITE SEJNAGE <br /> <br />PEI~IIT OR APPLICATION NO; <br /> <br />CONTRACTOR. NO. <br />EcCHULTZ, MARK & MARILYN <br />SAME <br /> <br />PHONE: 878-2689 <br /> <br />21921 <br /> <br />WATER SUPPLY.' <br />TEST HOLEE, RF..AQY: <br />,SITE EVALUATION NUMBER*. <br />EXISTING TANK 'SIZE.' ?00 <br />EXISTING DRAIN FIELD LINES.* <br />~EPTIC TANK PUMPED: 10'~-'~24-85 <br />PREVIOUS NO. 8EDt~:;)OMS-. <br /> <br /> ITEM (;~UANT ITY AMOUNT <br />EXISTING SYSTEM EVAL. RPT. 1 $100,00 <br /> <br /> TOTAL ASSE'~ED FEES $100.00 <br /> PB~IOUS RECEIPT$ $100.00 <br /> I~HIS RECEIPT $0. O0 <br /> <br /> $0, O0 <br /> <br />~8ALANCE OLIE <br /> <br /> PAYEE: 'IN;VOICE <br /> RECEIVED BY: C] TYPE',.' ',~,' 6H, ECK <br /> SEE ATTA~EO ~M~T FOR R~I~,~S,,OF ~SITE S~6E,~S~*~. <br /> <br />Z~ZN60~IN~C~, ~[S ~IT <br /> <br />REMARKS: EXIST SYST EVAL - LOAN <br /> <br />DONALD E. b/OODLEY, MARION COUNTY BU'IEDING OFFICIAL <br /> <br />FORM # MC 1~-5~ n~ TI/88 OFFICE COPY <br /> <br /> <br />