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MARION COU~,?,Y,DUILDING INSPECTION <br />SENATOR E~LDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 PM - 800 A M <br /> <br />DATE: 01/30/89 TIME: 1:19;09m <br /> <br /> 8OOZE, CONRAD & ROSA LEE <br /> <br />RESIDENTIAL <br /> <br /> ?808 BAF~AR, A LANE <br /> AUMS'VIL LE <br /> <br />USE OF BUILDING <br /> <br />MAILING AODRB$S <br /> <br /> 629t OGLE ST SE <br /> 3AL. E~ OR 97301 <br /> ~ONE: 743-~33~ <br /> <br /> 4 4 <br /> <br />OR 9'7325 <br /> <br /> 33 <br /> <br /> 3.20000 <br /> <br />MARION COUNTY NO <br /> <br />THE RANCH <br /> <br /> SITE NUM3ER: 644'7 <br /> VALUATION: <br /> <br />8S 114 AR 48 <br />AC NO NO <br /> <br />TYPE; ON-~SITE S~AGE <br /> <br />PE~17 OR APPLICATION NOt 9013754 <br /> <br />CON1RACTOR, NO. <br />BOOZE, CONR4D & ROSA LEE <br />6291 OGLE ST SE <br />SALEM OR 97301 <br />PHONE; 743-2331 <br /> <br />WATER SUPPLY: P~ <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: THE RANCH <br />~XISTING TANK SIZE: <br />E~.XISTING DRAIN EtELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVI~JS NO. BEDROOMS; <br /> <br /> ITEM m QUANTifY A~OUNT <br />STANDARD ON-SITE SYSTEM ,.¢V.~'"~ 1 $155_00 <br /> ,'"',~k'O.~ TOTAL ASSESSED FEES <br /> PR~IOUS RECEIPTS $0_00 <br /> THIS RECEIPT $165_00 <br /> 8A~NOE DUE $0.00 <br /> <br />PAYEE; BOOZE, CONRAD & R~A LEE ~ RECEIPT NO: 14583 <br />RECEIVED DY: P~ ~ ~: ~ TYPE~ OK CHECK ~: 6?59 <br /> <br />S~E A]TACHED DOCUM~T FOR RETIREMENTS OF ON~ITE SEWAGE SYSTEM_ <br /> <br />~ THIS IS NOT A PE~IT. ~I$ APPLICATI~ ~ST ~ ~ A R~I~ P~ ~ERE ~E <br />FOLL~ING ~ST BE ~PL~ED. IT IS THE ~5IBILI~ OF ~E APPLIC~T TO ~RE ~AT <br />ALL NEC~ [NFO~TI~ HAS 8E~ P~VIDED. <br /> <br />REMARKS: NEW SEPTIC R~8759 <br /> <br />CITY JURISDICTION: 8Y ............. DATE ............ <br /> <br />~o~m .¢ MC ~>.'~ ~ev ,,.8 OFFICE COPY <br /> <br /> <br />