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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />2'~0 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />lamare~lsteredbuilderOR( )theauthorizedrep~esentative <br />Other. <br /> <br />ow.~.f'E= 06/10/91 'fJME= <br /> ZELLER, VIC'FORiA <br />5fFUS ADDRESS: <br /> <br /> ?555 POE'T' RD <br /> AUMSVILLE <br /> <br />USE O¢ SULLYING: <br /> <br />OR <br /> <br />CONSTRUCTION TYPE: <br /> <br /> ~,~ CONYR~¢? CiTY <br />9?325 <br /> ................. I'~R- f ON, -COUNTY <br /> <br />NO <br /> <br /> RES 1 DEN'T' 1 AL. <br /><; 'COcUPANCY: <br /> <br /> OCCUPANT LOAD~ <br /> <br />SUBDIVISION <br /> <br />3 <br /> <br />P.O. BOX 1037 <br />AUI~'~SV i LLE .. OR 9',;'325 <br />PHONE: '/~.9-3713 <br /> <br />LOT ' BLOCK. SECTION TOWNSH P <br /> <br />SITE NUMBER: 1043 <br /> VALUATION: <br /> <br />MAP: <br /> <br />WIDTH. DEPTH <br /> 150 201 <br /> <br /> 25 <br />30150. <br /> <br />UNIT5 <br /> <br /> 2~ . AR <br /> ~REG, LOT CORNER: <br /> <br />SF NO NO <br /> <br />TYPE: ON-SiTE SEWAGE <br /> <br />PERJVlIr OR APPLICATION NO: <br /> <br />CON T P, ACTOR, NO. <br />ZELLER, ViCTORiA <br />P+O. BOX 1037 <br /> <br />90~2849 <br /> <br />WATER SUPPLY: PW <br />TES'f' HOL~ READY: <br />SiTE EWALUAI'iON NUMBER: <br />F~<iSTiNG TANK ~IZE: 1000 <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> AUIV~VI. LLE. OR 97325 <br /> PHONE: 749-3713 ~,,~, <br />..... i7 - ........ .... .... <br /> REPAIR - MAJOR ( : 1 $80.00 <br /> TOTAL A~E~ED FEES $80.00 <br /> G/ PREVIOUS RECEIPTS $0.00 <br /> THiS RECE:IPT $80.00 <br /> <br /> BALANCE DUE $0.00 <br /> PAYEE: ZELLER, ViCToRIA RECEIPT NO: 34644 <br /> RECEIVE0 BY: CL ............................................................. ; .......... ; ............................. TYPE= CK C~ECK ~: 1049 <br /> <br /> SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SiTE SPJAtAGE SY~I'EM. <br /> <br />~ THIS IS NOT A PERMIT+ THIS APPLIOATiONNIUST 60 THROUCH AREVIEW PROCE~.S ~"IERE THE <br />FOLLOWING MU~T BE OOMPLETED:IT I~THE RESPONSIBILITY OF THE APPLICANT TO ~RE THAT <br />ALL NECE~R'Y iNFOI~ATION:HA,SBE~N PROVIDED. <br /> <br />PLAN REVIEW: BY DATE <br /> <br />REMARKS: DRAiNF'ILED REPAIR R~6505 <br /> <br />CiTY JURi~DIC'1'iONt BY DATE <br /> <br />~o~ # ~c ~-se R~V, ~o OFFICE COPY <br /> <br /> <br />