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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREG,.ON 97301 <br /> <br /> PHONE 588r5147 <br /> CODE-A-PHONE 4:,30 P.M. - 8:00 A,M, <br /> <br />of ~ registered builder. <br /> <br />S{GSATURE OF APPLICANT: <br /> DATE: <br /> <br />OWN~-i' E: 08124/8? 'FINE: 2:58:06~ <br />S~TUS ADDRESS; <br /> <br />TAX LOT: <br /> <br />CONSTRUCTION TYPE'. <br /> <br />56226-233-227 <br /> <br /> }1871 IRISH GLEN SE <br /> AUNSV.ILLE OR 9?325 <br />NSE OF BUlLBINGz <br /> <br />i CONTBAC~ CITY: <br /> <br />MAILING ADDRESS: <br /> <br />SUBDIVISION: <br /> <br />11971 IRISH GLEN SE <br />~,UMSgZLLE 97325 <br />PHO~: '769-5602 <br /> <br />LOT: BLOCK: SECTION: TOWNSHIP; RANGE: ZONE; <br /> <br /> 28 85 iN AR <br />4.00000 AC N N <br /> <br />CATEGORYz <br /> <br />OCCUPANCY: <br /> <br />OCCUPANT LOAD; <br /> <br />: NO OF BEDROOMS: <br /> <br />MAP: <br /> <br />CONTRACTOR, NO. <br />MC MIi..LAN, ELDON & DORIS <br />:19'71 iRISH GLEN SE <br />,AUMSVI LLE 97325 <br />PHONE; 769~5602 <br /> <br />WATER SUPPLY~ <br />TEST HOLES READY: YES <br />SITE EVALUATION NUMBER: <br />EXISTING TANK S;ZE: <br />EXISTING DRAIN EZELD LiNES~ <br />SEPTIC TANK PU~PED; <br />PREVIOUS NO, 8EOROO~S: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$i65.80 <br /> <br /> SC.SC <br /> <br />BALANCE DUE <br /> <br />PAYEE: INVOICE NO: <br />RECEIVED BY: PS TYPE: CHECK <br /> <br />SEE ATTACHEO OCCUMEhlT FOR REOUIRS~4ENTS O? ON-STTE,SEWAGE SYSTE!Vi- <br /> <br />NOTE: THIS DOES NOT GRANT OR IMPLY PERMISSION 'TO iBLI;ILD ON THIS PARCEL. PLANNING AND <br />CONSTRUCTION PERMITS MUST BE OBTAINED BEFORE, BUILDING OR SEPTIC INSTALLATION BEGINS. <br /> <br />00NALD E. WOOOt~EY 'MARTON COLJN,Y~ BUiLDiNG OFFICIAL / 8'( <br /> <br />OFFICE COPY <br /> <br /> <br />