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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 PM - 8::00 A,M <br /> <br />DATE: 04,/28/88 TIME: t0.'11:48a <br /> JOHNSON, EARL <br /> <br />: TAX LOT CATEGORY <br />CONSTRUCTION TYPE OCCUPANCY <br /> <br />RESI DENT,T. ~L <br /> <br /> 8?54 MILL CREEK RD <br /> AUf'4SVI LLE, OREGON <br /> <br />USE OF BUILDING <br /> <br />MAILING ,~,E) D R E SS <br /> <br />OR 97325 <br /> <br />M~RION COUNTY ! NO <br /> <br />SUBDIVISION <br /> <br />SAME <br /> <br /> PHONE; 749-2601 <br /> <br />LOT BLOCK SECTION TOWNSHIP <br />26 <br />WIDTH DEPrH AREA UNITS <br /> 35.0000 <br /> <br /> SITE NUMBER; 4275 <br /> VALUATION <br /> <br /> ~ANGE ZONE <br />8S 2N EFU <br />AC IRREQ LOT NO <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERNIT OR APPLICATION NO: 9008145 <br /> <br />CONTRACTOR, NO, <br />,JOHNSON, EARL <br />SANE <br /> <br />PHONE: 749-2691 C..~' <br /> <br />WATER SUPPLY; <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: 4-25-88 <br />PREVIOUS NO, BEDROOMS: <br /> <br /> ITEM <br />AUTHORIZATION NOTICE - FLO- VISIT <br /> <br />TOTAL ASSESSED FEES <br />PREV~OLIS RECE2PTS <br />THIS RECEIPT <br /> <br />OUANTITY AMOUNT <br /> $65,00 <br /> <br />$65,00 <br /> $0,00 <br />$65,00 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: JOHNSON, EARL .,~¢/¢'~ RECEIPT NO: 8797 <br />RECEIVED BY: CL ~ ~ ~._~ TYPE: CK CHECK ~: ?13 <br /> <br />SEE ATTACHED ~UMENT FOR RE~IR~ENTS OF ~-SITE S~AG~ <br /> <br />~ ~IS IS NOT A PE~IT. ~IS APPLIOATI~ ~ST ~ ~ A R~I~ P~ ~ERE ~E <br />FOLDING ~ST 8E ~PL~EB. IT IS ~B R~SZBILI~ OF ~E APPLIC~T TO ~RE ~AT <br />ALL NEO~RY INFO~TI~ H~ BE~ P~IBEO. <br /> <br />PLAN REVI~t BY_~___ DATE~%~__ CITY JURISDICTION: 8Y ............ DATE <br />REMARKS: AUTH <br /> <br /> <br />