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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE:: 588-5147 8::00 - 4::30 <br />24 HOUR CODE-A-PHONE 588-7904 <br /> <br />0ATF: 10/23/90 lilvlE: 10~.30:33 <br /> <br /> N;~CHOL, GLEN 8_. <br /> <br />SITUS AODRESS <br /> <br /> 8420 HOLr4rjUiSF RO SE <br />AUffiSVI LL E OR 9'/325 <br /> <br /> all <br /> <br />AUMSVILLE, OR 97325 <br />PHONE: 585-1 t82 <br /> <br />TOWNSHIP <br />UNITS AC <br /> <br /> TAX LOT <br /> 58363-000 <br /> <br /> CONT~AS'r CITY UGB <br />P1ARI ON COUN fY NO <br /> <br />CATEGORY <br /> RE$1BENfIAL <br /> <br />OOOUPANI LOAD <br /> <br />S~'fE NUMBER: t 1405 <br />VALUA F I ON: <br /> <br /> RANGE ZONE <br /> AR <br /> iRREG LOT CORN E~:~, <br /> YES <br /> ~u <br /> <br />~YPE: ON-SITE SEWAGE <br /> <br />PERMi ! OR APPL~CAf'iON NO= <br /> <br />coNrRAcr'oR, NO. <br />NICHOL, GLEN E, <br />9748 BALES RD SE <br />Aur~SVlLLE, OR 9'/325 <br />PHON~: 58b-l't82 <br /> <br />NAIER SUPPLY: P~ <br />TEsr HOLE~ READY: <br />SiIE EVALUATION NUMBER: <br />EXI~'[ING TANK SIZE: <br />~×iSIiNG OrdAIN FIELD LiNP~: <br />SEPIIC lANK PU~PED: <br />PREVIOUS NO. B~DROO~= <br /> <br /> ifE~ <br />PR~RE D~SfRIBUIION <br /> <br />PAYEE: NICHOL, GLeN E, <br /> <br />FOrAL A~PgSSEO <br />PREy1 rAJS <br />THiS REOEIP r <br /> <br />()U.ANIifY AC4~UNr <br /> <br />$~05_oo <br /> <br />BALANCE DUE $0_ 0U <br /> <br />29840 <br /> <br /> RECEIVED BY: C l IYPE: CK CHECK ~: 161 <br /> <br /> SEE Al fACHgO OOC~ENI FOR R~IREM~S OF ~-~IfE SEWa~E $~E~L <br /> <br />~ THIS ~ NOT A PE~iT. THIS A~RLI~TZ~ ~T ~ TH~ A REVIEN P~ ~ER~ fNE <br />POLL~iNG ~sr BE ~PLETED. I1 ZS 'tHE R~SZBJLITY OF THE APPLICANT T'O ~RE fHAT <br />ALL NEC~RY iNFO~TI~ H~ BE~ P~[DED. <br /> <br />OFFICE COPY <br /> <br /> <br />