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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: 588-514.7 8:00 - 4.:30 <br />24 HOUR CODE-A-PHONE; 588-7904 <br /> <br />The work will be Cerformed ~y a registered builder, <br />Other <br /> <br />DATE: 09/09/92 TIME: i6:02:00 <br /> <br /> 11481 STEiNKAHP RD SE <br /> AUMSVILLE OR 97325 <br /> <br />,USE OF 8UILDI,~N~,, <br /> <br />505 W. REGIS ST <br />STAYTON OR 9738~ <br />PHONE: 769=2092 <br /> <br />WK~78-8486 <br /> <br />OITTER HILLS ~2 <br /> <br /> S~TE NUMBER: 92-027~5 <br /> VALUATION: <br /> <br />i£OT: BLOCK; ~¢CfioNi 'TOWn'Ale: <br /> 8 2 : 29 89 ~W AR <br />WIDTH: ~0~ 'UCb?~': . 727 "A.EA'. 228827. UN~ <br /> <br />ZAL <br /> <br />48 <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICaTiON <br /> <br />CONTRACTOR. NO. 02Z45 <br />Eddie L Wilson <br />4077 S~e <br />S~[em, 97501-5486 <br />PHONE: <br /> <br />41505 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: YES <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LIMES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEOROOMS: <br /> <br /> ITEH <br />STANDARD ON-SITE SYSTEM <br />SITE EVALUATION, FIRST LOT <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br />I $210.00 <br />,1 $220,00 <br /> <br />$430.00 <br /> <br /> $o.oo <br /> <br />BALANCE DUE $0.00 <br /> <br /> RECEIPT NO: <br />TYPE: CHECK ~: 0 <br /> <br />PAYEE: <br />RECEIVED BY: CR .................................. <br /> <br />SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEM. <br /> <br />MOTE: THIS DOES NOT GRANT OR IMPLY PERMISSION TO 6UILO ON THIS PARCEL,, PLANNING AND <br />ONSTRUCTION PERMITS MUST BE OBTAINED BEFORE BUILDING OR SEPTIC INSTALLATION BEGINS. <br /> <br />REMARKS: SE/ PERMIT <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br /> OPFICE COPY <br />FORM # MC 15-56 REV. 4/90 <br /> <br /> <br />