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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: 588-514'/' 8:00- 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am performing work on 8 property I own or O0¢Vpy. <br />I am a registered builder OR ( the authorized representative <br />(Df a registered builder, <br />The work will be performed by 8 re~istered builder. <br />©the~ <br /> <br />Ow~FFE: 07/3t/90 f'IME: <br /> <br /> S'I'U'f'HEI1 , RICHARD <br />SITUS ADDRESS <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYPE <br /> <br />CATEGORY: <br /> <br />OCCUPANCY: <br /> <br />R~i ODNI' iAL <br /> <br /> 5991WALINA <br /> AU~ViLLE. <br /> <br />USE OF BUILDING <br /> <br />OR 9?325 <br /> <br />DONTRAOT CITY UGS <br />N1ARI ON C,.'GUNt'Y NO <br /> <br />OCDUPAN~ LOAD: <br /> <br /> NO OF BEDROOMS <br /> <br />MAILING ADDRESS ------ <br /> <br />6830 ~:AJNSE'r WAY <br />TURNER, OR 97392 <br />PHONE.* 7,¢.3-2.723 <br /> <br />ROLLING GREEN E~I'ATES <br /> <br />SiTE NUMBER: 10586 <br />VALUA'r I ON: <br />RANGE: ZONE <br /> <br />MAP: <br /> <br /> 1 E 2.2 <br />WIDTH; DEPTH AREA UNITS <br /> 200 4. OU 80000. <br /> <br /> RREG LC~ DCRNER <br />SF NO NO <br /> <br />AR <br /> <br />49 <br /> <br />TYPE: ON-SITE SELVAGE <br /> <br />PER. il" OR APPLICATION NO: 25358 <br /> <br />CON'FRAC'FOR, NO. <br />STUTHEIT, RICHARD <br />8830 ,~AJNSE'I' NAY <br />TURNER, OR 9?399 <br />PHONE: 743-2723 <br /> <br />NATER~JPPLY= PN <br />TEST ROLE~ READY: YES <br />SITE EVALUATION NUNSER: <br />EXISTING TANK SIZE: <br />P~(iSTiNG DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS; <br /> <br /> iI'E~4 QUANTITY AMOUNT' <br />SITE EYALUATION, EA. ADOL. LOT 1 $145.00 <br /> ,TOTAL'A'%~E~ED FEES $145_00 <br /> pREVIOUS RECEIPTS $145.00 <br /> THiS RECEIPT $0,00 <br /> DANCE ~E $0.00 <br /> <br />PAYEE~ RECEIPT <br />RECEIVED BY; 6]2 ....................... ;;....,.;~ ................... ;;.;: .........TYPE; ~ECK ~; 0 <br /> <br />SgE ATTACHED DOCUMENT FOR REQUIRERP34TS OF ON-SiTE SEWAGE Sys'reJ~l. <br /> <br />NOTE: THIS DOE]5 NOT GRANT OR IMPLY PERMISSION TO BUILD ON THiS PAI~CEL. PLANNING <br />CONSTRUCTION PERt, qIT~ IViU~T BE ~TAiNED B~FOR~= BUILDI'NG OR ~.EPTiC: INSTALLATION <br /> <br />Rf~AARKS: SiTE EVALUATION <br /> <br />DONALD E. NOODLEY, I~ARION COUNTY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />