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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG~NIO 225 <br />220 HIG,F~ 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 ha~e read ¢nd agroo to the terms stated on the re¥orso S~de of <br /> <br />ow~TE: 01/19/89 TIME: <br /> <br /> LOUMENA, DANIEL <br /> <br />2:49:53p <br /> <br />TAX LOT <br /> <br />CONSTPUOTION TYPE <br /> <br />700 <br /> <br />RESIDENTIAL <br /> <br /> 10526 MATTHIEU LANE <br /> AU RORA <br />USE OF BUILDING <br /> <br />OR 97002 <br /> <br />NE <br /> <br /> CONTRACT CfTY UGS <br />MARION COUNTY NO <br /> <br />OCCUPANT LOAD <br /> <br /> NO OF BEDROOMS <br /> <br />3 <br /> <br /> SANE <br /> <br /> PHONE: 678-5387 <br /> <br />LOT BLOCK <br /> <br />TOWNSHIP <br /> <br />SITE NUMBER: 6341 <br />VALUATION: <br /> <br />MAP <br /> <br /> 08 UNITS <br />28.8900 <br /> <br />4S IRREGLOT lW OOHNbH EFU <br />AC NO NO <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PEt~4I'F OR APPLICATION NO: <br /> <br />CONTRACTOR, NO_ <br />LOOMENA, DANIEL <br />SAME <br /> <br />PHONE: 6?8-538? <br /> <br />13467 <br /> <br />MATER SUPPLY: PN <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING BRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM QUANTITY AMOUNT <br />SE < 6 MONTHS OLD 1 $110_00 <br />SITE EVALUATION, FIRST LOT 1 $175.00 <br /> <br />PAYEE: <br />RECEIVED BY: UN <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$285.00 <br />$285.00 <br /> $0.00 <br /> <br />BALANCE BUE $0+00 <br /> <br />RECEIPT NO: <br />CHECK <br /> <br /> TYPE: <br /> <br />SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE SEMAGE SYSTEM. <br /> <br />NOTE: THIS OOES NOT GRANT OR IMPLY PEF~4ISSION TO BUILD ON 7HIS PARCEL. PLANNING AND <br />CONSTRUCTION PERMITS MUST BE OBTAINED 8EFORE BUILDING OR SEPTIC INSTALLATION BEGINS. <br /> <br />REMARKS: SITE EVAL & SEPTIC R~5420 <br /> <br />OUNALB E. MOODLEY, fCC~RION COUNTY BUILDING OFFICIAL / BY <br /> <br />FOn~ ,,- MC ,~ .~ ~.~ .,8~ OFFICE COPY <br /> <br /> <br />