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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLOG, NO. '~25 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br />03/12/90 TIME; 14=06;46 <br /> <br />CHRISTENSEN , HAROLD <br /> <br />75301-020 <br /> <br />RESI DENTIAb~ ,' <br /> <br /> 5? 1 0 8~N~I AVE SE CONTRACT CITY; UGBI OCCUPANT LOAD: <br />~LE~ OR 97301 <br /> <br /> BO~ ROYALTY OR NE <br /> ~ALEN, OR 97301 <br /> PHONE; 39g-g62? <br /> <br />LOT: 8LOCK: <br /> <br /> SITE NUICBER; 9620 <br />SECTION: TOWNSHIP: RAN~LUATION: ZONE: MAP' <br /> <br />WI~TH: O~TH: ARSA; 14 ~N)TS; ~ )~EG. LOT: ~ CORNNH: AR3 49 <br /> <br /> 5.17gg9983 AC NO YES <br /> <br />TYPE: ON-~ITE SEHAGE <br />PERNIT OR APPLICATION N_~ ,4%902~408 <br />CONTI~TOR, NO.~ .... <br />ecs ~YALTY DR NE <br />~L~. ~ 97301 <br />~E= 399-9627 <br /> <br />SITE EVALUATION, FIF~T LOT <br /> <br />PAYEE: CHRISTENSEN. HAROLD <br />RECEIVED DY: c~ :: ~ : <br /> <br />~EE ATTACHED DOCUNENT FOR <br /> <br />~ATER SUPPLY: PN <br />TEST HOLES READY: YES <br />SITE EVALUATION NUMBER: <br />E~[STING,~ANK, SI~E: <br />EXISTING DRAIN FIELDLINE~: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. ~EDROOi¢~= <br /> <br /> qUANTITY AT',IOdNT <br /> 1 $175.00 <br /> <br /> ~'EES $175.00 <br /> , PREVIOUS RECEIPT~ $0.00 <br />:, ,: ::% :::, : RE, CE~PT $175. O0 <br /> $o oo <br /> <br /> NOr 23758 <br /> CHECK ~ 371 <br /> <br /> <br />