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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 585-5147 <br />CODE-A-PHONE 4::30 P,M - 800 AM <br /> <br />,)AYE; 04/' 5/88 T;ME: ?:59:28,3 <br /> <br /> VANDERHEZST, T:]NY <br /> <br /> 9972 8RONNELL DRIVE <br />AbMSV; I_LE OR <br /> <br />SE <br /> <br />i CONTRACT CITY UGB <br />,~A&T ON COUNT¥ NO <br /> <br />MAILING ADDRESS <br /> <br />SUBOIVISION <br /> <br /> H}NPSQIW, TROY <br />6?24 MILL CREEK ROAD SE TURNER <br /> <br />LOT BLOCK SECTION TOWNSHIP <br /> <br /> 19 <br /> <br /> 2,50000 <br /> <br /> SITE ",JUIVlB E R: <br /> YALUATIQN ~ <br /> <br />8S 1W <br /> ~RREG LOT <br />AC NO <br /> <br />CATEGORY <br /> <br />OCCUPANT LOAO <br /> <br /> & 1 l 3 <br /> <br /> AR3 ~. 8 <br />NO <br /> <br />iYPE/ ON-S~CE SEWAGE <br /> <br />PEi~MiT OF;, A, PLY zON NO: 7739 <br /> <br />CONTRACTOR, <br />YANDERHEIST, "[ ONY <br />%'~OMP3ON, TROY <br /> <br />CHONE: 'F47- 2572 <br /> <br />WATER SUPPLY: PM <br />TEST HOLES READY: <br />SiTE EVALUATION NUMBER: <br />EXISTZNG TANK SIZE: <br />EXISTING D~IN FTELO LINES~ <br />SEPTIC TANK PUMPED: 9/?/84 <br />PREVIOUS NO 8EDROOMS: <br /> <br /> I ~ E, OU,&N'r I'fY AI'4OJN F <br /> <br /> TOTAL ASSBSSED FEES <br /> ~REV ZOUS RECE7 PTS <br /> THIS RECEIPT $0 CiS <br /> <br /> ~LANCE DUE ~C <br /> <br />PAYEE: RECEIPT NO: <br />REDE;VEJ BY: Ol~l TYPE: CHECK ~: <br /> <br />,SEE /ITTADRED 0OCUIViEN} FOR REQUIREMENTS OF ON-SiTE SEWAGE SYSTE~, <br /> <br />* ~S ZSA VALID ~E~IT * ~IS PB~IT ~PIR~ 3~0 DAYS F~ ITS Z~E DATB. IF <br />C~ST~CTI~ FAI~ TO ~E~ ALL REdIReCTS OF STATE ~ ~D ~RI~ ~N~ 8UZLDtNG ~D <br />Z~IN60RDIN~C~, ~IS PB~IT ~ALL BEdE NULL ~D ~IB. <br /> <br />~EMARKS: EXISTING SYSTEM EVALUATION FOR ~$AN R~9638 <br /> <br />DON~,L,D E- WOOOL¢-Y, MARION COUNTY SUILD]NG OFFICIAL / BY <br /> <br /> <br />