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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHQNE 588-5147 ' <br />CODETA-PHONE 4:30 P,M, - 8:00 A,M. <br /> <br />am a registered builder OR ( ) the authorized reOresentative <br /> <br />SIGNATURE OF APPL CANT' ' ~* ~ - <br /> <br />DATE: 09/02/97 <br /> <br /> NHELEN, BARNEY i <br /> <br />SAME <br /> <br />PHONE: 749-2018 <br /> <br /> 10241 LEVEPJ'4AN RD SE <br />.AUrCLSV I LLE OR 97325 <br /> <br /> O~ ~qq'~oZI I S~TE NUHBER, 2392 <br /> <br /> ~ 3i i <br /> 15.0000 ] AC ~ NO ~ NO <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PE,c-C4IT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />WRELEN, BARNEY <br />SAME <br /> <br />PHONE~ ?~9--~0~8 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: <br />SITE EVALUATION NUIV;SER; <br />EXISTING TANK SIZE; <br />EXISTING DRAIN FIELD LINES; <br />SEPTIC TANK PUMPED; 9-]-8? <br />PREVIOUS NO. BEDROOMS: 2 <br /> <br /> C'rTY Jt RZSDJ~CTION · <br />PLAN REVIEW: BY_ DATE - . BY <br /> <br />REMARKS: <br /> <br />OFFICE COPY <br /> <br />DATE ............. <br /> <br /> 9004124 <br /> <br /> T TEM QUANT I TY AMOUNT <br /> 1 $65.00 <br />~NJTHORIZATION NOTICE - FLD. VISIT <br /> <br /> ~ ' ~.OTAL~. ~SESSE0'..:~EE$ $ 65 ,, o o <br /> ' ..: PRES/~0U¢ ::RECEIPTS ~ 0.00 <br /> <br />PAYEE: NHELEN, BARNEY :,.-~'~1 x¢:..~ .: .:: ,<ECEiPT NO= 45?9 <br />RECEIVED BY: Js ............. lllllll'llllll--= ' TY' E;i' cusox <br />..................................... ~------~--~-- ¢ ..... ~¢-~----~--~-~---~,~ ....................... <br />SEE ATTACHED DOCUMENT FOR ,RE(~UtREklEN]]~ O~ ON:~iS:I'T~',iSE~,E ,s¥S]-~_ <br />THIS IS NOT A PEI:~IlT. THIS APPLICATION IVllST: GO'TH~ /~ REVIEW PROCESS !~Tr-~ERE THE <br />FOLL.O~ING MUST BE cOrvlPLETEO. IT IS THE 'RESPONS, IBILI~-I~K 0F,:THE 'APPLICANT TO ASSURE THAT <br />ALL NECESSARY INFORMATION HAS BEEN i: ' <br /> <br /> <br />