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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREPT NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P.M, - 8:00 A.M. <br /> <br /> The work will be performed by a registered builder, <br /> Other. <br /> <br />DATE: 09/22/8? TIME: 11:29:13a <br />OWN~A, HUSSEY, ALAN <br /> <br />SITUS AOOSSSS: <br /> <br /> 260 SCOTT AVE <br />DETROIT <br /> <br />PHONE: 854-3342 <br /> <br />LOT: BLOCK: <br /> 1 <br />W~DTH: 100 D ~. PTH; <br /> <br />DATE;, <br /> <br />OR 97342 i CONTRACT CITY: <br /> DETROIT NO <br /> <br />195 <br /> <br />! CATEGOnY: RESIDENTIAL <br /> <br /> OCCUPANCY: <br /> <br /> OCCUPANT LOAO: <br /> <br /> 3 <br /> <br /> , SUBDIVISION: <br /> PATTON I <br /> <br /> SITE NUI',18 ER: 2591 <br /> VALUAT ION <br /> <br /> : 405 <br /> : ~sE~, hOT: NO <br />iAREA; 1;3500.0 ]UNITS; SF i <br /> <br />TYPE+. ON-SITE SENAGE <br />PER~IT OR APPLICATION NO: 9004492 <br /> <br />CONTRACTOR, NO, <br />HUSSEY, ALAN <br /> <br />PH~E: 854-3342 <br /> <br />WATER E¢JPPLY: OW <br />TEST HOLES READY~ <br />SITE EVALUATION NUI~3ER: PATTON ADON <br />EXISTIN6 TANK SIZEs <br />EXISTING DRAIN FIELD LINEI~: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS: 0 <br /> <br /> ITEM QUANTITY A~OUNT <br />STANDARD ON-SITE ,SYSTB',I ~ $125.00 <br /> <br />PAYEE: HUSSEY, ALAN <br />RECEIVED BY: EN <br /> <br />~TOTAL A,SSES,SED FEES <br />PREV~(TJS RECEIPTS <br />THIS RECEIPT <br /> <br />$125.00 <br /> $0.00 <br />$125.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />TY, INVOICE NO: 5049 <br />PE~ TR CHECK ~: 5 <br /> <br />SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE SENAGE SYSTEM, <br /> <br />* THIS IS NOT A P~IT. THIS APPLiCATION'II[IST 60 lrHROUEI4 A REVIEW PR~0CESS ¥~.IER~ 'IHE <br />FOLL~ING MUST 85 COf~PI.~IED. IT IS ,THE ,RE~IBILITY OF THE APPLICANT TO ASSURE 1HAY <br />ALL NECE:SSARY INF(~':lt~I~TION ~ 8ED PI~SVIDEI): <br /> <br />REMARKS: STANDARD SYSTEM <br /> <br />CITY J~RISDICTION: BY DATE <br /> <br />"O"M, MC ~-~ "~V e,~? OFFICE COPY <br /> <br /> <br />