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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 O0 A,,M <br /> <br /> DATE: 04/11/89 TIME: <br /> <br />OWN[A THOMPSON, TROY E. <br /> <br />TAX LOT i CATEGORY R~S i DEN T T A~. <br /> <br /> 99?2 8ROWNELL DRIVE <br />AUMSV I LLE OR <br /> <br />5?24 MiLL CREEK ROAD SE <br />TURNER 9?392 <br />PHONE: 743~2S72 <br /> <br />97325 <br /> <br />SE <br /> <br /> CONSTRUCTION TYPE OCCDPANCY <br /> <br /> '~ONTRACT CITY UGB : OCCUPANT LOAD <br />iqARTON COUNTY ~ NO <br /> <br /> NO OF BED~00MS <br /> <br />SITE NUMBER: 4113 <br /> VALUATION: <br /> <br />LOf BLOCK SECTION TOWNSHIP <br /> ;9 <br /> <br />¢¢IOTH DEPTH AREA 2 - 50000 UNITS <br /> <br />LOT NO COR~ <br /> <br />TYPE: ON-SITE SEWAGE <br />PERM~:T OR ~PPLICATIGN NO,, 900??39 <br /> <br />CONTRACTOR, NO. <br />THOMPSON, TROv E. <br />5724 ~ILL CREEK RO~D <br />TURNER 9?392 , <br /> <br />WATER SUPPLY: PN <br />TBST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIEL0 LINES: <br />SEPTIC TANK PUMPED: 9/?/84 <br />PREVIOUS NO, ~EDROOMS: <br /> <br /> ]: -FEr"- QUANT I TY AMOUNT <br />EXISTING SYSTEM EVAL. RPT. <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RBCEIPT <br /> <br />$60_00 <br /> <br />$6C.3S <br /> <br />BALANCE OUE <br /> <br />PAYEE: THOMPSON, TROY E,, RECEIPT NO: <br />RECEIVED BY: ON TYPE: CK CHECK ~: <br /> <br />SEE ~T'TACHED DOCUMENT FOR REOUIREMENTS OF ON-SITE SEWA~E SYSTEM. <br /> <br />* THIS IS NOT A PEF~4IT. THIS APPLICATION MUST GO THROUCH A REVIEW PROCESS I¢~ERE THE <br />FOLLOWING MUST BE COMPLETED. ~T ZS THE RESPONSIBILITY OF THE APPLICANT TO ~RE THAT <br />ALL NECESSARY INFORMATION HAS BEEN PR'OVZDED. <br /> <br />OITY JURISDICTION: BY ........ DaTE ......... <br />R~9638 <br /> <br />RE~tARKS: EXISTING SYSTEM EVALUATION FOR LOAN <br /> <br />¢")~V r' MC I I '!~: ~ ~'~'~ OFFICE COPY <br /> <br /> <br />