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MARION COUNTY BUILDING INSPEC' <br /> SENATQR BLDG. 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: 568-7904 <br /> <br /> of a registered builder. <br /> The work will be performed by a registered builder, <br /> Other <br /> <br /> this document, <br /> DATE: 97/02/92 ? :!9!~2 <br />/~-~'~ ~ TAX LOT'. <br /> STRASSHOFER, JIM & PIPER <br /> <br />DETROIT 320 SANTIAM AVE OR 97~42 l~f~ <br /> <br /> ~ HAMMOND DIVISION TO DETROIT <br />1~200 IRON MT BLVD t <br />PORTL.~ND OR ~)72.t9 SITE NUHBER: ~2-02445 <br />PHONE ~ 6~5-7903 VALUATION: <br /> <br /> ~ ; ~ : ~ ~ I , <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: 9040997 <br /> <br />CONTRACTOR, NO. <br />STRASSHOFER, JIM & PIPER <br />1S200 IRON MT BLVD <br />PORTLAND OR 97219 <br />PHONE: 6S5-790~ <br /> <br />WATER SUPPLY: CW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING 0RAIN FIELO LINES: <br />SEPTIC TANK PUMPED: WILL BRING IN <br />PREVIOUS NL BEDROOMS: 2 <br /> <br /> ITEM QUANTITY ANOUNT <br /> AUTHORIZATION NOTICE - FLD. VISIT ~)~-~2~ I $1~OlOO <br /> <br /> TOTAL ASSESSED FEES <br /> PREVIOUS RECEIPTS: $130.00 <br /> THIS RECEIPT $0.00 <br /> BALANCE DUE $0,00 <br /> P~YEE: .~[~ INVO!CE NO' <br /> RECEIVED BY: OM2 =~ ' TYPE. CH~CK ~J <br /> SEE ATTACHED DOCUNENTiFOR RE~U[REHENTS DF.S-SITE SEWAGE SYSTEM. <br />* THiS IS NOT A PER~IT. THIS APPLICATION MUST 80 T~Rou~ A REVIEW PROCESS WHERE THE <br />FOLLOWING MUST BE COMPLETED,. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />ALL NECESSARY INFORHATION HAS BEEN PROVIOED. <br /> <br />PLAN REVIEW: BY .......... DATE ...... CITY JURISDICTION: BY ........ DATE ......... <br />REMARKS: AUTH ,'" /¢ ', :' <br /> <br /> <br />