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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />2~0 HIGt~ STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4::30 PM - 8::00 A M <br /> <br /> I haFe read and 8gtco Iv the terms stated on the rO~erse side of <br /> <br />DATE: 03/14/89 TINE: 3:25:36p <br /> <br /> ALSEE, JEFF & ROXANE <br /> <br />$1~NATLJRE O¢ APPLICANT <br /> <br /> DATE <br /> <br />TAX LOT <br /> <br />OONSTR UO'T]ON TYPE <br /> <br /> 7878 BARBARA LA~E SE <br />AUASVILLE 97 325 <br /> <br />USE OF BUILDING <br /> <br /> CONTRACT CITY UGB <br />MARION COUNTY NO <br /> <br />6291 OGLE ST SE <br />SALEM 97301 ROXANE NK 463-3722 <br />PHONE: 743-2231 <br /> <br />LOT BLOCK SECTION TOWNSHIP <br /> 3 4 28 <br /> 3. 74000 <br /> <br />SUBDIVISION <br /> <br /> THE RANCH <br /> <br /> SITE NUMBER: <br /> VALUAT I ON; <br /> RANGE <br /> <br />8S <br /> IRREG LOT <br /> NO <br /> <br />RESIDENTIAL <br /> 3 <br /> <br /> 8740 <br /> <br />ZONE MAP <br /> <br /> AR 48 <br /> NO <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERHZT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />ALBEE, JEFF & ROXANE <br />6291 OGLE ST SE <br />SALEM 97301 ROXANE WK <br />PHONE~ 749-2331 <br /> <br />9014552 <br /> <br />WATER SUPPLY: <br />TEST HOLES READY: <br />SITE EVALUATION NurvsER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOIV~; <br /> <br /> ITEM <br />STANDARD ON-SITE SYSTEM <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> 1 $165.00 <br /> <br />$165.00 <br /> $o.oo <br />$165.00 <br /> <br /> ~%~ BALANCE DUE $0+00 <br />PAYEE: ALBEE, JEFF & ROXANE "~% RECEIPT NO- ~5425 <br />RECEIVED BY: B~ _~ TYPE: OK CHECK ~; 3061 <br /> <br />SEE ATTACHED DOCUMENT FOR RE(~JIRENENTS OF ~TE S~AGE SYST~. <br /> <br />* ~IS IS NOT A PE~IT. ~IS APPLICATI~ ~ST~ ~ A R~I~ P~ ~ERE ~E <br />FOLDING ~ST BE ~PL~ED. IT IS ~E R~SIBILI~ OF ~E APPLIC~T TO ~RE ~T <br />ALL N~ INFO~TI~ H~ BE~ P~V[DED+ <br /> <br />PLAN REVIEW: <br /> <br />REMARKS: STANDARD SYSTEN <br /> <br />R~7286 <br /> <br />CITY JURISDICTION; BY ......... DATE <br /> <br />OFFICE COPY <br /> <br /> <br />