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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 RM. - 8:00 A,M, <br /> <br />[ a~ performing work on a property I own or occupy, <br /> <br />Other <br /> <br />DATE: 07/12/89 TIME: 9:52:52a <br /> P-~DKE?ADAf¢~ <br /> <br />66962-000 <br /> <br />CATEGORY: <br /> RES I' DENT I' AL <br /> <br />OCCUPANCY: <br /> <br /> 380 DETROYT RD S <br />DETROIT <br /> <br />OR 97342 <br /> <br />CONTRACT CITY: UGB: <br />DETROIT NO <br /> <br />SUBOIVIglON: <br /> <br />OCCUPANT LOAD: <br /> <br /> NO OF BEDROOMS: <br /> <br /> 3 <br /> <br />LOT: BLOCK: SECTION: <br />WIDTH: DEPTH: AREA; <br /> <br /> SITE NurQgER: 7658 <br /> VALUAT I ON: <br /> <br /> RANGE: ZONE: <br />10 5E <br /> NO NO <br /> <br />MAP: <br /> <br /> 105 <br /> <br />TYPE: ON-SITE SENAGE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR. NO. <br />RADKE/ADAMS <br /> <br />PHONE: <br /> <br />16896 <br /> <br />I,",~TER SUPPLY: C~ <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />MISTING TANK SIZE: <br />~[,ST[NG O~[N ,EIELD <br />SEPTIC T~K ~MPED: <br />PR~[~S NO.. 8ED~: <br /> <br /> ITEM QUANT I TY AMOUNT <br />SITE EVALUATION, FIRST LOT 1 $175.00 <br /> <br /> ~OTAL', ,AE~ED FEES; $175.00 <br /> REVIOUS RECE'~PTS $175.00 <br /> THIS- RECEIPT $0.00 <br /> <br />.SALCC4OE DUE $0. O0 <br /> <br />PAYEE: INVOICE NO: <br />RECEIVED BY: C] ,'f"YPE:: CHECK <br /> <br />SEE ATTACHED BOCUMENT FO~E. MENTS OF,' ON;-,-SITE 5E~AGE,,S,YSTE~. <br /> <br />NOTE: THIS DOES NOT GRANT OR IMPLY PERI~IISSION TO BUILD ON THIs, PARCEL. P~ING AND <br />CONSTRUCTION PE~[TS MUST 8E','OIBTAINED'8EFORE"BUILDING ORSEPTIC INSTALLATION BEG[NS. <br /> <br />RFJ4ARKS: SE <br /> <br />DONALD E. ~::'OOLEY, MARION cOUNTY BUILDING OFFICTAL / BY <br /> <br />FO~4M ¢ MC ~5-5~ ~EV 11/86 OFFICE COPY <br /> <br /> <br />