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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 586-5147 <br />CODE-A-PHONE 4::30 PM - ,8 O0 A..M <br /> <br />~,IGNATURE OF APPLICANT <br /> DATE <br /> <br />°w~"TE: 10/30/89 TIME: 12:07;49p <br /> <br />S~TUS*,UORE~¢' -PACIFIC RR (f4EEKER FERTILIZER) <br /> <br />MARION COUNTY NO <br /> <br /> 11598 IV~CCLELLAN RD <br />AUM~VI LL~E <br /> <br />OR 97:~25 <br /> <br />SE <br /> <br />CArbGoRY <br /> <br />OCCU~*NC¥ COI~4ERC I AL <br /> <br />OCCUPANT LOAD <br /> <br /> CONTACT: ART GRO~E <br /> 1795 - 16114 ST SE <br /> PHONE~. 769-2330 <br />LOT 8LOCK <br /> <br />SALEN 9?302 <br /> <br /> ~ECTION <br /> <br />TOWNSHIP <br /> <br />SITE NUMBER: 8499 <br />~N~UATI(1N.~ zONE <br /> <br />MAP <br /> <br />AREA I 3 UNITS <br /> .t nog00 <br /> <br />9S IRREG LOT 2¥~ CORNER AR <br />Ar' YE~ NO <br /> <br />62 <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: 19311 <br /> <br />CONTRACTOR, NO. <br />~O.PACI~IC RR (MEEKER <br />1795 - 1BTH ST SE SALEN <br />PHONE; ?69-2330 <br /> <br />WATER SUPPLY: <br />TEST HOLES READY: NO <br />SITE EVALUATION NUNBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDRO0~: <br /> <br /> ITF51 qUANTITY <br />SITE EVAL. - FIRST 1000 GAL DSF 1 <br /> <br /> TOTAL A~F_~ED FEES <br /> PREVIOUS RECEIPTS <br /> THIS RECEIPT <br /> <br />AMOUNT <br /> $175,00 <br /> <br />$175.00 <br />$175.00 <br /> $o.oo <br /> <br />BALANCE CUE $0.00 <br /> <br />PAYEE= RECEIPT NO: <br /> <br />RECEIVED BY: cl TYPE'- CHECK <br /> <br />SEE ATTACHED DOCUMENT FOR REqUIRFJViENTS OF 0N-SITE SENAGE SYSTE~. <br /> <br />NOTE: THIS I~OES NOT GRANT OR II*IPLY PEI~I~ION TO BUILD ON THIS PARCEL. PLANN~[NS AND <br />CONSTRt~CTION PER~IITS 'I~JST BE OBTAINED BEFORE BUILDING OR SEPTIC TN~TALLATION BBBINS. <br /> <br />REf4ARKS: SE F¢47156 STD SYSTEN <br /> <br />DONALD E. NOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />FORM ,, MC:I~ :.,: f~=~ ,~,.~ OFFICE COPY <br /> <br /> <br />