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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 226 <br />220 HIGH STREET ~ <br /> SALEM, QREG(~J~I 97301 <br /> <br /> PHONE 588-5147 <br /> CODE-A-PHONE 4:30 P,M, - 8:00 A.M. <br />I am Performing w0rk on a Dfoperty I own or OCCUpy. p <br /> <br />OAT~: 04/12/88 TIME: 8:38:58 <br /> <br /> COAKLEY, RODNEY & MARIA <br /> <br /> 5785 SHAW HNY <br />AUINCmVI LLE OR 97326 ~ t <br /> M~BZlON COU~ (, ..NO <br /> <br /> TAX [OT~ <br /> 56055-000 RESI DENT':IAL <br />i GONSTRU~,TION TYPE: <br /> <br />185 CULVER LANE SO <br />SALFJ~ 97302 <br />PHONE: 362-6508 <br /> <br />LOll: BLOCK: <br /> <br />SITE NURSER: 3193 <br />VALUATION: <br />RAN~: :ZONE: <br /> <br /> NO <br /> <br />TYPEt ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: 9007766 <br /> <br />CONTRACTOR, NO, <br />COAKLEY, RODNEY & MARIA <br />185 CULVER LANE SO <br />SALEM 9?302 <br />PHONE: 362-6508 <br /> <br />MATER ~.JPPLY: <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />ES<ISTING TANK SIZE: 1000 <br />EXISTING DRAIN FIELD LINES: 450 <br />SEPTIC TANK PUMPED: 4/1/88~¢~_~.~.~ <br />PREVIOUS NO. BEDROOMS: 1 <br /> ¢~-~f'~.~-.Z~.~-' <br /> <br /> ITEM QUANTITY AMOUNT <br />AUTHORIZATION NOTICE - FLD. ¥ISIT 1 $65.00 <br /> <br />TOTAL A,,ssE~gED FEE5 <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$$5,00 <br /> $0.0D <br />$65_00 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: COAKLEY, RODNEY & MARIA ,("'-"Nj ~CEIPT NO: 840? <br /> <br />SEE ATTACHED DOCUMENT FOR REQUIREMENTS OFON~S~TESBNA~8 SYSTEM. <br />~ THIS IS NOT A PERNIT. THIS APPLICATION ~JST GO ~C~ A RE'VI~-$~ PROCESS ~HERE THE <br />FOLLOWING NU~T BE CONPLETED. IT IS THE RESPON$~BIE~TY OF'THE:APPLICANT TO A~tJRE THAT <br />ALL NECE~DARY INFORMATION HAS BEEN PROVIDED;,: <br /> <br />PLAN REVIEN: BY ........ OATE : CiTY JURISDICTION: BY ......... DATE .......... <br /> <br />RE1vlARK.'~: AUTH NOTICE REPLACE NO ,w~: <br /> <br /> ' . _ <br /> <br /> <br />