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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG,F'40, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 9'/301 <br /> <br /> PHONE 588-$147 <br />CODE-A-PHONE 4::30 PM - 8 O0 A M <br /> <br />DATE: 01/11/89 TIME: 9:27:58e <br /> <br /> LOUMENA, DANIEL <br /> <br />TAX LOT <br /> ?00 <br />CONSTRUCTION TYPB <br /> <br />RESIDENTIAL. <br /> <br /> 10526 IVIATTHIELI LANE NE <br />AUI~)RA OR 87002 <br /> <br />MARION COUNTY NO <br /> <br />SUBDIVISION <br /> <br />SANE <br /> <br />~HONE: 878-S387 <br /> <br /> 08 4S <br />28. 8900 AC <br /> <br />SITE NUMBER: 6341 <br />VALUATION: <br />RANGE ZONE <br /> <br /> 1W E FU <br /> NO NO <br /> <br />MAP <br /> <br />7~'PE; ON-SITE SEWAGE <br /> <br />PERHIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />LOUMENA, BAN IEL <br />SANE <br /> <br />PHONE: 6?8-5387 <br /> <br />9013467 <br /> <br />HATER SUPPLY: PW <br />TEST HOLES READY.* <br />SITE EVALUATION NUMBER: <br />I~KISTING TANK SIZE; <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEl4 QUANTITY AMOUNT <br />SE < 6 MONTHS OLD 1 $110,00 <br />SITE EVALUATION, FIRST LOT 1 $175.00 <br /> <br /> TOTAL ASSESSED FEES $285.00 <br /> PREVIOUS RECEIPTS $0-00 <br /> THIS RECEIPT $288.00 <br /> <br /> BALANCE DUE $0.00 <br /> <br />PAYEE: LOUMENA, DANIEL /;']vt" RECEIPT NO: 14284 <br />RECEIVED BY: XXX ..¢~¢~- TYPE: CK CHECK ~: 2679 <br /> ....... __:--__ ~_--~-- _ ............................. <br />SEE ATTACHED DOCUMENT FOR REQUIRENENTS OF ON-SITE SEWAGE SYSTEM. <br /> <br />NOTE: THIS DOES NOT GRANT OR IMPLY PER~IISSION TO BUILD ON THIS PARCEL. PLaC4NING AND <br />CONSTRUCTION PERNITS NUST BE OBTAINED BEFORE BUILDING OR SEPTIC INSTALLATION BEGINS. <br /> <br />PLAN REVIEW; BY DATE CITY JURISDICTION: BY ........ DATE <br /> <br />RET4ARKS: SITE EVAL & SEPTIC R~5420 <br /> <br />FOMM~M¢ ~¢'56 RE¥ II'1)8 OFFICE COPY <br /> <br /> <br />