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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH ~T.REET NE <br /> SALE~¢~, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A. PHONE 4::30 PM - 8::00 AM <br /> <br /> 3 ~.9~V~;~'~.,d and agt~i'tC;)l~r~ tePFn~ .stated. ~;:~¢ reveroe aide of <br /> <br />DAN t ELSON, EVAN <br /> <br /> 15393~211 <br />TAX LOT <br /> <br /> RESI DENT ~ AL <br />BATBGORY <br /> <br /> 9~S E'~_,iNDLY ACRES <br />AUMSV ILL E OR <br /> <br /> SE CONSTRUCTION ~Y~E OCCU~NC ~ <br />97325 <br /> MARION COUNTY NO <br /> <br /> USE OF BUILDING <br /> <br />39394. BROCK OR. <br />~., ~ <br /> <br />SITE NUMBER: <br /> VALUATION; <br /> <br />8685 <br /> <br /> 19 8S lW AR5 <br /> <br />I~OT BLOCK ~'~ 0 0 TOW N,~ RANG~No NoZONE MAP <br /> <br />, r,)~'~'F'4TT F'l~ L',ppI TF'*ATTF~fq,NO. ,,, <br /> <br /> ~ X,)NTRACTOR, NO, <br /> <br /> UNITS IRREG LOT COHNER <br />MATER ,?¢JPPLY: PiN <br />TEST HOLES READY: 8~22-'78 <br /> <br />EXISTING 0RAIN FIELD LIN~: <br /> <br /> PREVZOUSNO. BEDROOMS: <br />~J2IO, OR 973?4 <br />PHONE¢ 394~2379 <br /> <br /> ZTEM QUANTITY AIA:)LINT <br />STANDARD ON-SITE SYSTEM 1 $185.00 <br /> <br />PAYEE: <br /> <br />TOTAL A~ESSBD FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$165.00 <br />$I$5.00 <br /> $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />RECEIPT NO: <br />CHECK <br /> <br /> ........................ TYPE: <br /> SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE SEWA6E SYSTEM. <br /> <br />I~QTI~ ~AI~ ~ ~ ~L ~I~S ~ ~ATE ~ ~D ~I~ ~ BUILDING <br /> <br />REMARKS: SEPTIC SYSTEM R~5534 <br /> <br />~ONALO E+ WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br /> <br />