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220 HiGH STREET NE <br />SALEM, OREGON 97301 <br /> <br /> PHONE 888-5147 <br />CODE-A-PHONE 4:30 P.M- - 8:00 A.M. <br /> <br /> DATE: 04/'21/97 TIME; <br />OWNER: ROSE, NORIVtAN <br /> <br />TAX LOT: <br /> <br /> 7555 POET RD SE <br />~,UIv~VILI_E OR 9'7325 CONm~,CT c~¥: uc~e <br /> <br /> PO BOX <br /> AUMSVILI_E OR 97325 <br /> PF, ONE~ 749--2829 SI,TE NUMBER: <br /> VALUATION <br /> <br /> 25 8S 2N <br />WIDTH. '~50 DEPTH: ~01 ' ~REA: 90150.0, UNITS: SF RREG. LOT ~,1 CORNER: <br /> <br /> CATEGORY: R <br /> OCCUPANCY: <br /> <br /> OCCUPANT <br /> <br /> NO 0f BED~00MS <br /> <br /> 3 . <br /> <br />!04,:3 <br /> <br /> MAR' <br /> ,AR 51 <br /> <br /> N <br /> <br />TYPE: ON-S~[TE SENAGE ' MATER SUPPLY: P'N <br /> TEST HOLES READY: <br />PERMIT OR APPLICATION NO: 1519 SITE EVALUATION NUMBER: <br /> EXISTING TANK SIZE: 1000 <br />CONTRACTOR, NO. EXISTING DRAIN FIELD LINES: <br />ROSE, NORMAN SEPTIC TANK PUHPED: 4-12-87 <br />PO BOX 494 HOLDING TANK AGREEf4ENT: <br />AUMSVI LLE OR 97325 EASEMENT: <br />PHONE: 749~2829 AFFIDAVIT: <br /> NINTER NATER CHECK; <br /> <br /> ITEM QUANT I TY AMOUNT <br /> <br />EXISTING SYSTEM EVAL. RPT. <br /> <br />PAYEE: <br />RECEIVED BY: PB <br /> <br />TOTAL AssEssED FEES <br />PREVIOUS RECEIPTS <br />THiS RECEIPT <br /> <br />$60.00 <br /> <br />$60.00 <br />$~0_00 <br /> $o.oo <br /> <br />BALANCE DUE $0.00 <br /> <br /> INVOICE NO: <br />TYPE: CHECK <br /> <br />SEE ATTAOHED DOCUMENT FOR <br /> <br />SYSTEM. <br /> <br />SPECIAL REQUIREMENTS: <br /> <br />* THI~ IS A VALID PEi~IT $ <br />CONSTRUCTION FAILS TO MEET <br />ZONING ORDINANCES, THIS <br /> <br />ITS ISSUE DATE. IF <br />~4ARION COUNTY BUILDING AND <br /> <br />REf4ARK$: ~5272 87-32~ <br />OONALO E. ~E)ODLGY, MARION <br /> <br />OFFICE COPY <br /> <br /> <br />