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MARION COUNTY BU1LDING INSPECTION <br />SENATO'R 8C~ NO, 22S <br />220 H~GH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588~5147 <br />CODE-A-PHONE 4'30 PM - 8 00 AM <br /> <br /> Other __ , <br />DATB ~?~78~f8~ee m the ~.~te~(~ .t~6e~. ~lde of <br /> B~ZE, ~D & ~ LEE <br /> <br />RESIDENTIAL <br /> <br />S,TU~ ^I~ BARBARA LANE <br />AUMSVI LLE <br /> <br />OR 97225 <br /> <br />MARION TY NO <br />C~)NTRAC~N UGB <br /> <br />SALEM OR 97201 <br />PHONE= 742-2331 <br /> <br />THE RANCH <br /> <br />S~TE NUIF~ER= $~47 <br />VALUATION: <br /> <br />4 4 23 48 <br /> 3.20000 <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: 13754 <br /> <br />CONTFc, ACTOR, NO, <br />BOOZE, CONRAD & ROSA LEE <br />6291 OGLE ST SE <br />SALEM OR 97301 <br />PHONE: 743-2321 <br /> <br /> 83 1N AR <br /> R&NGE ZONE <br /> <br /> AC NO NO <br /> <br />HATER ,~JPPLY*. PH <br />TEST HOt~ I;'¢&DY.- <br />SITE ~VALUATION NU~ER: THE RANCH <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINE~: <br />SEPTIC TANK PUMPED: <br />PREV;[OUS NO. BEDROOMS: <br /> <br />STANDARD ON-SITE SYSTEM <br /> <br />ITEM OUANTITY AMOUNT <br /> 1 $'165.00 <br /> <br /> TOTAL ASSE~.SED FEES $165.00 <br /> PREVIOUS RECEIPTS $ <br /> THIS RECEIPT $0.00 <br /> <br /> 8ALANOE DUE $0.00 <br /> <br />PAYEE: RECEIPT NO: <br />RECEIVED BY: pr' .................................. TYPE: CHECK <br /> <br />SEE A'FrACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE SEHAGE SYSTEM. <br /> <br />* TH~S ~S A VALID PEFC4IT :~ THIS PERMIT EXPIRES 380 DAYS FRO~ 'rl~ I,~.~UE <br /> <br />R~RKS: NEW SEPTIC R~6759 <br /> <br />DONALD E+ WOOOLEY, MARION COUNTY BUILDING OFFICIAL <br /> <br />OFFICE CO~Y <br /> <br /> <br />