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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 AM <br /> <br />0ATE: 04/2?/88 TIME: 9:28:4?8 <br /> JACKSON, JOE 8. & MILDRED <br /> <br />SIGNATURE OF APPLICANf <br /> <br /> DATE <br /> <br /> TAX LOT <br /> <br /> CONSTRUCTION TYPE <br /> <br />CATEGORY <br /> RES I DENTI AL <br /> <br />OCCUPANCY <br /> <br /> 8601 Hor~uIST RD SE <br />AU~SVZLLE OR 9?328 <br /> <br />BOB SLATER----/'~ <br />~ BOX 477 AUI'~VIL. LE 97325 <br />PHONE: '749--1760 <br /> <br /> LOT BLOCK SECTION TOWNSHIP <br /> 31 <br /> <br />WI[jTH 272 DEPTH 100 AREA 2?200+0 UNITS <br /> <br />MARION COUNTY NO <br /> <br />SUBDIVISION <br /> <br /> SiTE NUMBER: <br /> VALUATION: <br /> <br /> RANGE <br /> <br />8S <br /> IAREG LOT <br />SF NO <br /> <br />OCDSPANT LOAD <br /> <br /> 4284 <br /> <br />ZONE MAP <br /> AR 48 <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: 9008118 <br /> <br />CONTRACTOR, NO, <br />JACKSON, ,JOE B. & MILDRED <br />808 SLATER <br />PO BOX 4?? AUMSVILLE 9?328 <br />PHONE; 749-1760 <br /> <br /> WATER SUPPLY: PW <br /> TEST HOLES READY: <br /> SITE EVALUATION NUMBER: <br /> EXISTING TANK SIZE: <br /> EXISTING DRAIN EIEL0 LINES: <br /> SEPTIC TANK PUMPED: <br />' PREVIOUS NO. BEDROOIVLS: <br /> <br />REPAIR 1 sss, oo <br /> ,~/~'/) TOTAL ASS~ED FEES $35.90 <br /> ,,, ~'- PREVIOUS RECEIPTS $0.00 <br /> ~ THIS RECEIPT $35,00 <br /> <br /> BAL,~ $0,00 <br /> <br />PAYEE: JACKSON, JOE 8. & MILDRED RECEIPT NO: 8?55 <br />RECEIVED BY: DM ................................ TYPE: :CA~ CHECK ~: o <br /> <br />SEE ATTACHED D~UMENT FOR REQUIREMENTS OF ON-SITE S~AGE SYSTEM. <br /> <br />* ~IS IS NOT A ~E~IT. THIS AP~LICATI~ ~ST ~ ~ A R~I~ P~ ~ERE ~E <br />FOLL~ING ~ST BE ~L~ED. IT IS ~E R~SIB~LZ~ OF ~E APPLIC~T TO ~RE ~AT <br />ALL NEO~RY INFO~TI~ H~ BE~ P~IDED. <br /> <br />PLAN REVIEW: BY__~'~_]~-_~__ DA TE_~.,~.~_.,~.,.~__w CITY <br />RB'4ARKS: REPAIR R~9854 <br /> <br />JURISDICTION: BY <br /> <br />DATE ........... <br /> <br /> <br />