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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 P.M- - 8:00 A.M. <br /> <br /> ) I am performing work on a proc]erty ~ own ar occupy. . <br /> ) I ama regiatered builder OR( ) the authorized repreBentabve <br /> of a registered builder, <br /> ) Tho work will be performed by a registered builder. <br /> } Other .... <br /> ) I I~ave read and agree to the terms s~afed on the reverse side of <br /> this document. <br /> <br /> DATE~ 08/31/88 T ilvlE t 2,:53:05P <br />OWNER: <br /> RAYMON D/LEAGYELDS <br /> <br /> 40O DETROIT RD <br />DETROIT <br /> <br />use o~ ~0,-d~G: .... <br /> <br />97 342 <br /> <br /> ?. DEAN JASPERS - BUYER <br /> 2192 SO~T DR NEST LINN <br /> <br />LOT: ~BL~CK; iSECTION: <br /> <br />iDEPTH ,AREA: <br /> <br /> 86960-000 ~ RESI DEN~IAL <br /> <br /> i CQNTRACT CITY'. i UGER i OCCUPANT LOAD', <br />DETROIT i NO I : <br /> <br /> SITE NUMBER: 5355 <br /> VALUATION <br /> ................................ TOWNSH I PT RANGE: <br />1 1 5E <br /> ! IR~EG, LOT: [CORNER: <br /> UNITS: SP ,, YES i NO <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: 9010831 <br /> <br />CONTRACTOR, NO. <br />RAYMOND/LEAGYEL[~ <br />F. DEAN JASPERS - BUYER <br />2192 SO HILLCBEST DB WEST LINN <br />PHONE: 836-2936 <br /> <br />WATER SUPPLY: CW <br />TEST HOLES REAOY:-'~I~ <br />SITE EVALUATION NUIV~ER= <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM <br />SITE EVALUATION, FIRST LOT <br /> <br />QUANTITY AMOUNT <br /> $175.00 <br /> <br /> ~..~,¢O~ TOTAL ASSESSED FEES $175.00 <br /> PREVIOOS 'RECEIPTS $0.00 <br /> THIS RECEIPT <br /> <br /> -- BALANCE DUE $0.00 <br /> <br />PAYEE: RAYNe D/ : .... ' <br /> N LEAGYELOS INVOICE NO= 11847 <br />RECEIVED BY: DM ................ ~-'~ ....... ~ TYPE: IN CHECK ~: 0 <br />SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE SE, WAGE'SYSTEM. <br /> <br />NOTE: THIS DOES NOT GP.~NT OR IMPLY ~EEMISSION ~O' BUILD ON'I'HIS PARCEL+ PLANNING AND <br />CONSTI~UCTION PER~IT~4UST BE OBTAINED 8EFOREBUILDING OR' SEPTIC INSTALLATION BEGINS. <br /> <br />REMARKS: SITE EVAL ' '" <br /> OFFICE COPY <br /> <br /> <br />