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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 />DATE: 01/15/88 TIME:. 9:lG:31a <br /> <br /> ?ORCI ER, LELAND <br /> <br />10528 STEINKAMP RD <br /> <br />RESIDENT;AL <br /> <br /> AUMSVi LLE <br /> <br />USE O¢ BUILDIN~ <br /> <br /> PO EOX 551 <br /> SALEM 9'7308 <br /> PHONE: 362-0535 <br /> <br /> ,,fAx Lo¥: c^¥E~oR~: <br /> : 1-56244-000 <br /> <br />OR 9?325 FIARI ON.. COUNTY. _ C ..... NO [ <br /> <br /> SITE NUMBER: 34tl <br /> ! VALUAT I ON: <br /> <br />4.1~000 ,~ AC / Y~S ~ NO <br /> <br />TYPE; ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: 822? <br /> <br />CONTRACTOR, NO. <br />FORCIER, LELAND <br />PO BOX 551 <br />SALEM 97308 <br />PHONE: 362-0535 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY; <br />SITE EVALUATION NUMBER: 1-0-88 <br />EXISTING TANK SIZE: <br />EXISTING DP~AIN FIELD LINES; <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM QUANTITY AMOUNT <br />SE < 6 MONTHS OLD 1 $85_00 <br /> <br /> TOTAL ~EE, SED;FEES $~5,00 <br /> · PREVIC~J~ RECEIPTS $55.00 <br /> THIS RECEIPT $0.00 <br /> <br /> BALANCE CUE $0,00 <br /> <br />PAYEE; RECEIPT NO; <br />RECEIVED BY: J8 TYPE: CHECK ~: <br /> <br />SEE ATTACHEO OOCUMENT FOR REQUIREHENTS OR'0NT~ITE,SE~GE S¥STEH, <br /> <br />· THIS IS A YALZD PERMZT * THZS PEI:~IIT EXPIRE~ 3'80,DAYS FROM ITS IS.SUE DATE. <br />CONSTRUCTION FAILS TO MEET ALL REOUIREMENTSOP'STATEI._AWS,N~IDf, IARION COUNTY BUILDING AND <br />ZONING ORDINANCES, THZS PER~IT SHALL--'~--BECO~E NU~LAND VOID. <br /> <br />REMARKS: SEPTIC R;~8582 <br /> <br />CORM ', MC 15.56 RF:,V U/B? OFFICE COPY <br /> <br /> <br />