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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 558-5147 <br /> CODE-A-PHON'E 4::30 P..M - 8::00 AM <br /> <br /> of a registered budder <br /> I haw, read and agree to the terms stated o~ ike r~¢~r~e side Of DATE:: <br /> <br />DATE: 05/98/8? TIME: 12:44:E0~ <br /> MAIR, JAMES <br /> <br /> 7727 SHERMAN RD SE CONTRACT CITY UGB <br />AUMSVI LLE OR 97325 <br /> <br />OCCUPANT LOAD <br /> <br /> NO OF RFDR00M~ <br /> <br />SANE <br /> <br />PHONE <br /> <br />I OT <br /> <br />WIDTH <br /> <br />749-1339 <br /> <br /> BLOCK SECTION TOWNSHIP <br /> 28 8S <br /> 1.55000 AC <br /> <br /> SITE NUMBER: 1501 <br /> VALUAT I ON: <br />RANS~ ZONE MAP <br /> 1W AR <br />IRREG LOT COaNER <br />N N <br /> <br />48 <br /> <br />'TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: 9002380 <br />C(~ TRACTOR, NO. ~ <br />DIAI R, JAMES ~ <br />SANE <br />PHONE: 749-1339 ~/ <br /> <br />NATER SUPPLY.* PN <br />TrenT HOLE~ READY: <br />SITE EVALUATION NUIV18ER: <br />EXISTING TANK SIZE: 1200 <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br />450 <br /> <br /> ITEM QUANTITY AMOUNT <br />AUTHORIZATION NOTICE -FLD, VISIT 1 $65.00 <br /> <br /> TOTAL A,.e~E,.<SSED FEES $65.00 <br /> PREVIOUS RECEI PT~ $0.00 <br /> THIS RECEIPT $65.00 <br /> <br />PAYEE: MAIR, JAME.~ <br />RECEIVED BY: cl <br /> <br />BALANCE BLIE $0,00 <br /> <br />INVOICE NO: 2874 <br />TYPE: OK CHECK ~: 200 <br /> <br />SEE ATTACHED DC~UMENT FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEM. <br />~ THIS I$ ~T A ~IT. ~IS ~L~'~ ~,,~ A R~I~ ~ ~ ~E <br />~L~ING ~T BE ~LErEO. iT i8'~E ~IB~ ~ ~E ~LI~T TO ~RE ~T,/ <br />ALL NEC~ IN~TI~ H~ 8E~ <br /> <br />R~R~: AU~EED ~MPE~ <br /> <br />OFFICE COPY <br /> <br /> <br />