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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG, NO. 225 <br /> <br /> SALEM, OREGON 97301, <br /> <br /> PHONE 588-5147 <br /> CODE-A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br />I am performing work on aproperty ~ own or occupy. <br />lam~reglsteredbullderOR( ] the authorized representative <br />of a registered builder, <br />The work will be performed by a registered builder. <br />Other_ <br /> <br />04/29/87 TIME: 2_'04:flSp <br /> <br />MESKERS, MARTIN ~4. <br /> <br />TAX LOT: <br /> ~,0548-00D <br /> <br />CONSTRgCTIO N TYPE <br /> <br />CATEGORY: <br /> <br />OCCUPANCY; <br /> <br /> 2074'7 HIGH~,~tAY 99E <br /> <br />USE OF BUILDING; <br /> <br />OR 97002 <br /> <br />NE <br /> <br />CONTRACT CITY: <br /> <br />DSS: <br /> <br />OCCUPANT LOAD <br /> <br />640 NO. BAKER DRIVE <br />CANS"(, OREGON 678--2590 <br />PHONE: 286-~4143 <br /> <br />TYPE; ON-SITE SEWAGE <br /> <br />PERN~-F OF,: ~-PPLICAT~ON NO: 900185? <br /> <br />CONTRACTOR, NO. <br />NIESKERS, !vI~RTIN W- <br />540 NE). BAKER DRIVE <br />OANBY OREGON 578-2580 <br />¢~,,ONE: 266--4143 <br /> <br />TOWNSHIP; <br />UNITS <br /> <br /> SITE ,NU~18 ER: '~' VALUAT I ON: <br /> <br />45 '~ <br /> RRES LOI CORN~F <br />SF K <br /> <br /> ITEM <br /> SE < 6 NORTHS OLD <br />, SITE EVALUATION, FIRST LOT <br /> <br />PAYEE: MESKERS, MAR-FIN <br />RECEIVED BY: <br /> <br />SEE ATT.'~.CHED DOCUMENT <br /> <br />MATER SUPPLY: PN <br />TEST HOLES READY: ARE 0US <br />SITE EVALUATION NUMBER: <br />EXiSTiNG TANK SIZE: <br />~ISTING DRAIN FIELD LINES~ <br />SEPTIC T~NK PUMPED: <br />HOLDING TANK AGREEMENT~ <br />E,c~,SEMENT: <br />AFFIDAV[T~ <br />~NTER ~ATER CHECK: <br /> <br />TOTAL ASSESSED PEES <br />PREVIOUS RcC~PT,~ <br />THIS RECEIPT <br /> <br />QUANT; ~'Y AMOUNT <br /> <br />6230.00 <br /> $o,oo <br />$230_00 <br /> <br />BALANCE ~,UE $0.00 <br /> <br /> INVOICE NO: <br />TYPE: ~u~,, CHECK <br /> <br />SYSTEM, <br /> <br />SPEC[AL REQL ]'BEMENTS- <br /> <br />NOTE: THIS DOES <br />CONSTRUCTION PERt41 <br /> <br />PL_AN REVIEN: ~Y <br /> <br />REt,lARKS: TEST HOLES ARE <br /> <br /> PARCEL. PLANNING AND <br />SEPTI~ INSTALLATION BEGINS, <br /> <br /> DATE <br /> <br />OFFICE COPY <br /> <br /> <br />