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MARION COUNTY BL~ILDI.NG INSPECTION <br /> SENATOR~LDG NO 225 <br /> 220 H~GH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 430 PM - 8::00 A M <br /> <br />Othor _- <br /> <br />TIME: 10:52:~2a <br /> <br />9?325 <br /> <br /> "AX LO¥ <br /> <br /> CONSTRUCTION TYPE <br /> <br />~ARION COUNTY NO <br /> <br />RES I DENT I AL,, <br /> <br />9003 SHAW SOUARE RD <br />AO~vILLE. OR 9?325 <br />PHONE: 749-1011 <br /> <br />LOT 8LOCK <br /> <br />DEPTH <br /> <br /> SiTE NUMBER: 6612 <br /> VALUATION: <br /> <br />*R~A 24 UN~T$ BS IRREG[O¥ 2~ COHNEI~ <br /> AR3 <br /> 51 <br /> <br /> 3.00000 AC NO NO <br /> <br />TYPE: ON-SITE SEWAGE WATER SUPPLY: <br /> TE~T HOLE3 READY~ NO <br />PERMIT OR APPLICATION NO: 9014167 SITE EVALUATION <br /> EXISTING TANK SIZE: <br />CONTRACTOR, NO_ A EXISTING DRAIN FIELD LIN~: <br />GARCIA, A~NDO ~ SEPTIC T~K ~MPED¢ <br />9003 SHAW S~ARE RD %~ PREVI~S NO. <br />AU~VII_.LE, OR g7325 <br /> <br /> IT~ <br />SITE EVALUATION, FIRST LOT 1 $175.00 <br /> <br /> TOTAL ~ED FE~ $175.00 <br /> PREVI~S RECEIPTS ~0.00 <br /> ~IS RECEIPT $1.5_00 <br /> <br /> BALANCE DUE $0 <br /> <br />PAYEE: G4.~A, A~DO RECEIPT NO: 15013 <br />RECEIVED BY: Pn TYCE: CK CHECK ~: 3540 <br /> <br />SEE ATTACHED DOCUMENT FOR REQUZRENENTS OF ON~S~TE SE~GE SYSTB~. <br /> <br />NOTE: THIS DOES NOT ~T OR tf, IPLY PERNI,F~.SION TO BUILD ON THIS PARCEL. PLANNING AND <br />CONSTRUOTZON PERI~III"~4UST BE OBTAINED BEFORE BUILDING OR SEPTIC INSTALLATION BEGINS. <br /> <br />PLAN REVIEW: 8Y ........ DATE ......... CITY JURISDICTION: BY <br />REd, ARKS: SE <br /> <br />FOr~r¢¢ MC I~ ~ I1,~(~ OFFICE COPY <br /> <br /> <br />