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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97'301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4::30 PM - 8-OO A.M. <br /> <br /> DATE; 10/28/88 TIME: 4;22:57p <br /> <br />OWNEN FOWLER, DWIGHT <br /> <br /> 8836 DARLEY RD SE <br />AUfASVILLE OR 9?325 <br /> <br />USE OF BUILDING <br /> <br />SANE <br /> <br />F~4ONE; 749-1438 <br /> <br /> ~A× LOt CAIECIOnY RESIDENTIAL <br /> CONSTRUC~ ION TYPE OCCUPANCY <br /> <br />MARION COUNTY NO <br />3 <br /> <br />( DY BLOCK SECTION 'TOWNSHIP <br /> 14 9S <br /> <br />WIDTH DEPTII AREA 3.00000 UNITS AO <br /> <br />SUBDIVISION <br /> <br />SITE NuIvrBER: 5889 <br />VALUATION: <br /> <br /> RANGE ZONE <br /> 2N EFU <br /> <br /> IRR~G lOT <br /> NO <br /> <br />MAp <br /> <br /> 62 <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />FERMI? OR APPLICATION NO: <br /> <br />C~TRACTOR, NO. <br />FOWLER, DWIGHT <br />SAME <br /> <br />PHONE: 749-1438 <br /> <br />9O1222? <br /> <br />WATER SUPPLY: F~ <br />TEST HOLES READY: <br />SITE EVALUATION NUNBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES; <br />SEPTIC TANK PUMPED: WAIVED PER BOB <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM <br />ANNUAL EVAL. - TE~P OR HDSHP <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> $60.00 <br /> <br />$80.00 <br /> $0,00 <br />$60.00 <br /> <br />PAYEE: ~ <br /> ~ ~ RECEIPT NO: 12980 <br />RECEIVED BY: JB ~ ~_ TYPE; CK CHECK ~ 471 <br />SEE ATTACHEO OOCUMENT FOR REQUIRENENTS OF ON-SITE SDNAGE SYSTEM. <br /> <br />* THIS IS NOT A PERNIT. THIS APPLICATION MUST GO THROU(~-t A R~I~ P~ ~ERE ~E <br />FOLL~ING ~ST BE ~PL~ED. IT IS ~E R~SIBILI~ OF ~E AFFLICT TO ~RE ~AT <br />ALL NBC~ INFO~TI~ H~ BE~ P~IDED. <br /> <br />RENARKS: HROSHP ANNUAL SEP. EVAL R:~5279 <br /> <br />CITY JURISDICTION: 8Y .......... DATE <br /> <br />FOR~ ,¢ MC: ,~ ¢~ ~ ~,~ OFFICE COPY <br /> <br /> <br />