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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 /> Other <br /> <br /> .... A,Et !!/27/97 T~:r'4E _- 2:05:22p <br />OWNS.'. HILLER. JoHN i fAX Lo'c: <br /> <br /> Sffu$ ADd~Ess: <br /> i CONSTRUCTION TYPE: OCCuPANcY: <br /> 9832 JORDON "'" <br /> ,¢,UMSV ,': ~ Lc.,,,, <br /> ........ ~, 97325 fS(J~T&AG'~'6~,~: f08~: :OCCUPANT LOAD: <br /> , , ,RION COUNTY <br />'uSE OF 8bibdiN¢: i~0 0~ eEOR00MS <br /> <br />MAILING ADDRESS: <br /> <br /> CALDNELL 8ANKER/LORRAZNE HALTER <br /> 1011 CO~lvlL NE ~100 SAL~ 97301 <br /> ~H(}NE; 364-9596 SITE NU~ER~ 3150 <br /> ~ VALUATION <br /> <br />WlDTH~ ;DEPTH: ~ ..... ~ <br /> ;A~EA: 11 -3200 iUNITS: AC ;IRREG. LOT: YES <br /> <br />TYPE: 3i~-'-S;TE SEWAGE <br />~ERMI'T OR APPLfCATION'NO: <br />CONTRACTOR. NO, <br />MILLER. JOHN <br />CALDNELL 8ANKER/LORRAZNE HALTER <br />101! COMML NE 9100 SALEM 9'730! <br />~I~ONE; 354-~9595 <br /> <br />5635 <br /> <br />~ATER SUPPLY: PW <br />TEST HOLES READY: <br />SZTE EVALUATION NUMBER; NO RECORD <br />EXiSTiNG TANK S~ZE: <br />EXISTING ORAZN FIELO L.~NES: <br />SEPTIC TANK PUMPED; <br />PREVIOUS NO_ BEDROOMS: <br /> <br /> I <br />EXISTING SYS!"EM EVAL, RPT. <br /> <br />PAYEE <br />RE,.E~VED <br /> <br /> ED.ANTI~Y ,&MOUNT <br /> <br />':,~ TOTAL ASSE&SEDPEES <br /> PRE¥IOUSRECE[PTS $tS8.~',, [., <br /> THIS RECEIPT ; $0,00 <br /> <br /> c.,. A, TAC~E0 DOCUMENT FOR REQU;[REM~N,~ S O?;:ONm.$,[:, E ,:SEA1AC-E'SYSTE~. <br />~ ~IS IS A VALID PE~IT * ~IS PE~IT;~P~R~::,'4 ~TS I~E ~TE. SF <br />~ST~CTI~ FaI~ TO ~E~ ]IR~TS ~O ~I~ ~N~ 8DzLD~N~ ~D <br />Z~I~ O~IN~C~, ~IS P~!T:~ <br /> <br />REMARKS; AUTH FOR LOAN R~8277 ' ' <br /> <br /> %NALE) &, kXOODLEY, 1'4AR~ON COUNTY P~UEL0:]ENQ OFPZOi[EAL /' ~Y <br /> <br />OFFICE COPY <br /> <br /> <br />