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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 />CODE-A-PHONE 4:30 P,M. - 8:00 A.M. <br /> <br /> I am performing work on a property I own Or OCCupy, <br /> ~amaregIJered~o builder OR( ) the authorized representative <br /> of a registered builder. <br /> The work will be performed by a registered builder, <br /> Other <br /> I have read and agree to the terms stated on the reverse side of <br /> <br />DATE: 06/21/88 TIME; 10:00'_54a <br />OWNER; ' TAX LOT; <br /> ~4C MILLAN, ELDON & DORIS <br /> <br /> i 8AT'GoRY; RES ~ DENT I AL <br />i CON~TRUCTION 'T~E; i OCCUPANCY: <br /> <br /> 11621 IRISH GLEN SE <br />ALINSV I LLE <br /> <br />USE OF BUILDING: <br /> <br />OR 97325 , <br /> ~,.RION COUNTY NO i <br /> <br />MAIUNG ADDRESS: <br /> <br />11971 iRISH GLEN <br />AUMSVZLLE OR 97325 <br />PHONE: <br /> <br />WIDTH· :DEPTH: <br /> <br /> SiTE NUMBER: (,.1836 '"~ <br /> : VALUAT I ON; <br />SECTION: i TOWNSHIP: I~ ........ I' ~5~ <br /> <br />CONTRACT CITY; i UGB; ;OCCUPANT LOAD: <br /> : 3 <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />~: MILLAN. ELDON &DORZS <br />:197'1 IRISH GLEN <br />AUMSVILLE OR 9'7325 <br />PHONE: 789-5602 <br /> <br />HATER SUPPLY: PW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: 5772 <br />EXISTING TANK SIZE: <br />EXISTING DRAIN F~ELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO_ BEDROOMS: <br /> <br /> ITEM QUANT I TY AMOUNT <br />SE " 8 MONTHS OLD 1 $110_00 <br /> <br /> : ;;TOTAL ASSESSED: FEES ~J 10,00 <br /> :: 1' PTS .~. 10. O 0 <br /> $0.00 <br /> <br /> ,' ,~:,;' :; '; BALANCE DUE :r: $ 0.00 <br /> <br />PAYEE: : :'RECEIPT NO: <br />RECEIVED aY: J8 , .............. ~E:' ~ CHECK ~: <br />SEE ATTACHE0 OOCUMENT FOR ~E~N~S OF ON~S~TE,,~W~¢/:S~E~- <br /> <br />~ST~CTI~ FAI~ TO NE~ ALL: ~D ~RI~ ~N~ BUZLDING ~D <br />Z~ING ORBIN~C~, ~IS ~E~IT ~ALL ;aE~E"NU:L:b'~D ~D. <br /> <br />REMARKS: NEW SEPTIC R~6318 : <br /> <br />0ONALD E. WOODLEY. MARION COUNTY BUILDING OFEICIAL / BY <br /> <br />FORM ~ MC 15.56 REV 6/87 OFFICE COPY <br /> <br /> <br />