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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STREET NE <br /> SALEM1 OREGON 97301 <br /> <br /> PHONE: 588-514.7 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am performl~9 work on a property [ own or occupy. <br /> <br />of A registered builder. <br />The work will be performed by a re§istered builder, <br />Other <br /> <br /> TIME.* 12+26:03 : TAX LOT: <br />ow~fr~'r E -- 05/22/91 ..... ~ ..... <br /> <br /> CAR'fY. PA'TRiCK ', CONSTRUCTION TYPE: <br />SITUS ADDRESS: <br /> <br /> 305 LAKIgCRES'f ~ ,!CON~RAC'rCrTYi [JG~i <br /> DE'f 'ROi ']' OR 97342 '. <br />USE O¢ BUILDIN(~: 'DE'T¢-~',~'~ NO <br /> <br />CATEGORY: <br /> <br /> RESIDENT <br />OCCUPANCY: <br /> <br />OCCUPAN~ LOAD: <br /> <br />MAILING <br /> <br /> 5631 CASCADE S'¥ <br /> NEST LINN, OR 9?068 <br /> PHONE: 656--4557 <br /> <br />LOf': ' BLOCK: <br /> <br />1 '! 0 <br /> <br /> PAT TON l <br /> <br /> SITE NUIYtB ER: '127'75 <br /> V, ALUAT ~ <br /> 5~CTIQN~ ; TOWNSHIP; RANGE: <br /> <br /> :: AREA: 2 ~ ~ 0 ': IR~EG, LOT; 5~ CORNER: <br />149 . <br /> <br />MAP: <br /> <br />NO ES <br /> <br />TYPE: ON-SiTE SEWAGE <br /> <br />PERRI.'F OR APPLICATION NO++ 31779 <br /> <br />r..%JN'T'~C'f'OR, NO. 36421 <br />KEVIN'S BACKHOE SERVICE <br />P.O. BOX 465 <br />BEfROI1 , OREGON <br />PHONE: <br /> <br />WATER SUPPLY: CH <br />TEST HOLES READY: WiLL CALL <br />51'f'E EYALUATION NUI~BER: <br />EX~,,STING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />~EPTiC TANK ~UMPED: <br />PRE¥I0~S NO+ BEDROOR~: <br /> <br /> ~T'E~ Q~JAN'f'i'f'Y AFIOUN'i' <br />SE < 8 RONTHS OLD <br />SITE EVALUAf'iON, FiR~T LO'f 1 $175.00 <br /> <br /> TOTAL A.SSE%5,SED FEES $285.00 <br /> PREVIOUS RECEIPTS $285.00 <br /> THIS RECEIPT SO.g0 <br /> <br /> BALANCE [,~IE $0_00 <br /> <br />PAYE~:: INVOICE NO.* <br />RECEiVEO BY: GL TYPB~ CHECK ~: 0 <br /> <br />SEE A'~'I'ACHEO [.YOCUMENT FOR RE~IREM~']'S OF ~-8I'I'6 ~AGE SYS'I'E~. <br /> <br />NOTE: THIS []OF'P[ NOT GRANT OR IMPLYPER~I~tON TO BUILD ON THIS PARCEL. PLANNING AND <br />OGNSTRUCTION PEI~IITS J~UST 8E O~TAINED BEFORE BUILDING OR SEPTIC INSTALLATION BEGINS, <br /> <br />REMARKS: SiTE EVAL & SYS'T'E~ INSTALLATION <br /> <br />DONALD E. <br /> <br />MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />SEEPAGE 'I'RENC~ ............................................. L~ ..................................... <br /> <br /> OFFICE COPY <br />FORM # M6 1 ~-~6 FIEV, 4/90 <br /> <br /> <br />