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MARION COUNTY BUILDING INSPECTION <br /> SENATOR RLDG. NO, 225 <br /> 220 HiGH STREET NE <br /> SALEM, OREGON 9'7301 <br /> PHONE 588-5147 ~ /// '\ <br /> <br />The work will be performed by a registered buHder. --~ ..... ~ <br />Other ...... ~ ~.~7 <br />I have read and agree to the terms stated oh the reverse side of DAYE; ~ <br /> <br /> tl~is document. <br /> OATE: 01/08/88 TIME.' <br />owr~£R: FORC]'ER, LELAND <br /> <br />SITUS <br /> <br />4:07:59D <br /> <br />iTAX Lof: <br />¢ 1-56244-000 <br /> <br />i CONSTitUCTION tYPE: <br /> <br /> 10526 STEINKAMP RD <br />.4UA'tSV]LLE <br /> <br /> PO 0OX 551 <br /> SALEM 97308 <br /> PHONE; 362-0535 <br /> <br />W~OTH: iDEPTH: <br /> <br />SE ~ <br /> M RION COUNTY ,~ NO <br /> <br />:i CAt'S,CRY: RESI DENT~AL , <br /> <br /> " SITE NUMBER: 3411 <br /> VALUATION: <br /> <br />~ECTION: ..... i¥(~W~I~HiPi I k~,N~: ] ~bhlk: ' MAP: <br /> <br />TYPE: ON-S~TE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: 900622? <br /> <br />OON RAO OR, NO. <br />PORCIER, LELAND <br />PO BOX 551 <br />SALEM 97308 <br />~'~ONE: 362~053~ ~, <br /> <br /> ~TEM <br />SE < 6 MONTHS OLD <br /> <br />WATER SUPPLY: PN <br />TEST HOLES READY; <br />SITE EVALUATION NUMBER: 1-8~88 <br />EXISTING TANK SIZE: <br />EXISTING DRA~N FIELD LINES¢ <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br />QUANTITY A~OUNT <br /> $65.00 <br /> <br />~¢OTAL A;S-SE;8$E:D,FEES $65.00 <br />',PREVIOUS, RECEIPTS $0.00 <br />':THIS:RECEIPT $65,00 <br /> <br />SEE ATTACHED DOCUMENT FOR <br /> <br /> ~_ CI'TY JURISDZCTI~: BY ........ DATE <br />REMARKS: SEPTIC R~8682 : :: <br /> <br />~o~M * MC 15,5e ney, e/~ OF FICE COPY <br /> <br /> <br />