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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: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> DATE: 09/24/92 TIME: 9:14:41 <br />...................................... ~ ~A~E~Y: <br />IOWNER: CHASE~ ELMER i T~X~L~;0100 : RESIDENTIAL <br />r~fo~ X~DRe~S j OONSYRUCT/ON TYPE; ~ <br /> <br /> 11~84 JRHES WAY DRIVE SE ~[m~.' ....... ~'b~; ~C~UPANT LOAD: <br /> AUMSVILLE OR 97~25 ~ ~'~ ~'R [,~~OUNTY ~ ~ ~ <br /> <br /> ; DITTER H~LLS TRACTS <br />11~44 JAMES WAY DR SE <br />AUMSVILLE 97525 <br />PHONE: 749-1410 i VALUATION: <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: 42191 <br /> <br />CONTRACTOR, NO. <br />CHASE, ELMER <br />11644 3AMES WAY DR SE <br />AUMSVILLE 97525 <br />PHONE: 749-14~0 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: YES <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING 0RAIN FIELO LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM QUANTITY AMOUNT <br />SITE EVALUATION, FIRST O'l 1 $220.00 <br /> <br /> TOTqL ASSESSED FEES <br /> PREVIOUS REOEtPTS <br /> ~HIS RECEIPT <br /> <br /> BALANCE DUE <br /> <br />PAYEE: <br />RECEIVED BY: PB .................................... <br /> <br /> RECEIPl NO: <br />TYPE: CHECK ~: 0 <br /> <br />$220.00 <br />$~20.00 <br /> $0.00 <br /> <br />$0.00 <br /> <br />SEE ATTACHEO DOCUMENT FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEH~ <br /> <br />NOTE: THIS OOES NOT GRANT OR IMPLY PERMISSION 'ro BUILD ON THIS PARCEL. PLANNING AND <br />ONSTRUCTION PERHITS MUST 8E 08TANNED 8EFORE BUILOING OR SEPTIC INSTALLATION BEGINS. <br /> <br />REHARK$: SITE EVALUATION STO SYSTEM <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br /> <br />