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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-PH.~)NE 4~30 PM - 800 AM <br /> <br />°wBA~TE.' 05/15/89 TIME: 10=17:54a <br /> <br />smJs ~:,D,ES~ETER~5' THEODORE <br /> <br />occuP*,~c,, RES I DENT I AL <br /> <br /> 9117 SILVER FALL~ H~f SE <br />AUMSVI LLE OR 97325 <br /> <br />MARION COJNTY NO <br /> <br />SITE NUF~ER~ 7188 <br />R~NO~ALUATION:zoNE MAP <br /> <br />NO NO <br /> <br />CONTRACTOR~ NO. <br />PETERS, THEODORE <br />SA~E <br /> <br />TYPE: ON-SITE SEN/AGE HATER ,,?AJPPLY. <br /> TEST HOLES READY: <br />PERMIT OR APPLICATION NO: 15740 SITE EVALUATION NUIC~ER= <br /> EXISTIN~ TANK SIZE: 900 <br /> .._.~.~0~.~% EXISTING DRAIN FIELD LINES: <br /> SEPTIC TANK PUMPED: <br /> PREVIOUS NO. BEDROOF~: 3 <br /> <br />PHONE: 362-1555 <br /> <br /> iTEI~I <br />SE < 6 MONTHS 'OLD <br />SITE EVALUATION. <br /> <br />FIRST LOT <br /> <br />PAYEE: =* <br />RECEIVED BY: c1 ' <br /> <br />TOTAL ASSE~ED FEES <br />PREVIOdS RECEIPT~ <br />THIS RECEIPT <br /> <br />QUANTITY <br /> 1 <br /> 1 <br /> <br /> RECEIPT NO: <br />TYPE:= CHECK <br /> <br />AMOUNT <br /> ~110.00 <br /> 175.00 <br /> <br />$285.00 <br />$105~00 <br /> <br />SEE ATTACHED DOCUMENT FOR REQU;~IRENENTS O? ON-SITE SEHAGE SYSTEJ~. <br /> <br /> NOTE: THI~ DOES NOT C.-,~a~T OR IMPLY ,PEI;~iI-~'qlON TO BUILD ONTHI$...PARCEL,.,PLANNIN8 AND <br />~CONSTRUCTION PERMI?S~U~T~/y BE OBTA'INED:BEFOREBUILDINGOR~....~,~. SEPTIO INSTALL~TI~IBF~INS.~ <br /> PLAN REVIEH: 8Y___~_~ DATE_~.,..,~-L CITY JURISDICTION: BY_~___ DATE <br /> REJ'4ARKSt MH HDC=HP IIII 1:~ff,7025 BAL DUE <br /> <br /> <br />