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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4::30 PM - 8::00 A M <br /> <br /> Other .... <br /> <br />DA~:O°~ 4/99 TIME: 9:18:16~ <br /> <br />MOLTERS, HILL <br /> <br />~6507-000 <br /> <br />RESiDENTI,~L <br /> <br /> 11972 STEINKAHP RD <br />AUMSVILLE <br /> <br />OR 9?325 <br /> <br />SE <br /> <br />uGu NO <br /> <br />MAILING ADD~ RESS <br /> ]1852 STEINKAJV~P RD SE <br /> <br /> PHONE: <br /> <br />SITE NUMBER: <br /> VALUATION: <br /> <br />8692 <br /> <br />LOf BLOCK SEC lION <br />WIDTII 281 DEPTH 298 ^nE~ <br /> <br />NO <br /> <br />AR MAp 4,8 <br /> <br />TYPF: ~N-~TTE SEW~A¢ <br /> <br />PERMIT OR APPLICATION <br /> <br />CONTRACTOR, NO. <br />MOLTERS, HILL <br />lt852 STEINKAMP RD SE <br /> <br />PHONE: <br /> <br />17929 <br /> <br />WATEB ~JpPLY: PN <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />E.,XISTING TANK SIZE: <br />EXISTING DRAIN FtELO LINESt <br />SEPTIC TANK PUMPED~ <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM QUANT I TY AMOUNT <br />SE < 6 MONTHS OLD 1 $110,00 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$110,00 <br />$11o_00 <br /> $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: RECEIPT NO: <br /> <br />RECEIVED BY: P8 TYPE: CHECK <br /> <br />SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEM_ <br /> <br />* THIS IS A VALID PERffilT * THIS PEI~4IT EXPIRE~ 360 DA~ F~ ITS I~E DATE. IF <br />~ST~CTI~ FAI~ TO ME~ ALL RE~IREM~ OF STATE ~ ~O ~RI~r~N~ BUILDING ~D <br />Z~ING OROIN~C~, THIS PE~[T ~ALL BEdE NULL ~D <br /> <br />REMARKS: NEN SYT R~2183 <br />DONALD E, WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY ___~ .................. <br /> <br /> <br />