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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 508-5147 <br />CODE-A-PHONE 4::30 PM - 800 A,M <br /> <br />) I ha~e read ~-'~ee to the terms stated on tile reverse side of <br /> <br />DATE <br /> <br />oN:i~E: 11/13/89 TIME: 11:49:47a <br /> <br /> SO.PACIFIC RR (MEEKER FERTILIZER) <br />S~TtlS ADDRESS <br /> <br />TAX LOT <br />CONSTRUCTION TYPE <br />CONTRACT CITY UGB <br />MARION COUNTY NO <br /> <br /> 11598 MCCLELLJ)-N RD <br />AuMSVILLE <br /> <br />OR 97325 <br /> <br />SE <br /> <br />MAILING ADDRESS <br /> <br />CATEGORY <br /> <br /> COMMERCIAL <br />OCCUPANCY <br /> <br />OCCURANT [ CAD <br /> <br /> 0 <br /> <br />CONTACT: ART GROBE <br />1795 -- 16TH ST SE <br />PHONE: 759-2330 <br /> <br />LOT BLOCK <br /> <br />SALEH 97302 <br /> <br /> SECTION <br /> <br /> AR~A <br /> <br /> 1.00000 <br /> <br />TOWNSHIP <br /> <br />LJNITS <br /> <br /> SITE NUMBER: 8499 <br /> R A ~G~E(-UAT ION: ZONE <br /> <br />95 IRREG LOT 2~'~ CORNE~4 AR <br />,AC Y~ NO <br /> <br />MAR <br /> <br /> 62 <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO; 9020196 <br /> <br />CONTRACTOR, NO, 51352 <br />REA CONST. INC- <br />P.O. BOX 517 <br />STAYTON. OR 97383 <br />PHONE: 769-6566 <br /> <br />WATER SUPPLY: PN <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: 19311 <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK I~JMPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM <br />STD ONSITE SYS < 1000 GAL <br /> <br />PAYEE: REA CONST. INC. <br />RECEIVED BY: c1 <br /> <br />QUANTITY AMOUNT <br /> 1 $165.00 <br /> <br />TOTAL ,~SS~ED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$166.0Q <br /> $o.oo <br />$165.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />RECEIPT NO: 21435 <br />TYPE: CK CHECK ~: 3931 <br /> <br />SEE ATTACHED DOCUMENT FOR REQUIRE, tflENTS OF ON-SITE SEWAGE SYSTEM. <br /> <br />* THIS IS NOT A PER~IT. THIS APPLICATION rVlJST 60 THROUGH A REVIE~ PROCESS [~"IERE THE <br />FOLLO~IING I~UST BE CONPLETED. IT IS THE RESPONSIBILITY OF THE APPLICN~T TO ¢~,LIRE THAT <br />ALL NECE~.SARY INFOEMATION HAS BEEN PROVIDED. <br /> <br />PLAN REVIEW: BY ~ <br /> <br />CITY JURISDICTION: BY ........ DATE <br /> <br />REMARKS: STO SYSTEM R~7946 <br /> <br />OFFICE COPY <br /> <br /> <br />