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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 - 4:80 <br />24 HOUR CODE-A-PHONE: B88-7904 <br /> <br />of a registered builder. <br /> <br />Other_ <br /> <br /> ) <br /> this document. <br /> <br /> DATE: 08/19/92 TIME: <br />OWNER: <br /> RAUSCHER, NORMAN & CAROL <br /> <br /> 11481 STEINKANP RD <br /> AUMSVlLLE <br /> <br />have read and agree to the terms stated on the reverse side of <br /> 9;25:28 <br /> <br />OR <br /> <br /> ; CONstRucTIoN YYPE: OCCUPANCY; <br /> <br /> SE <br />97525 ; i~¢J~kT ~UNTY i tt,F~: ODDUPANT LOAD: <br /> <br />:USE OF BUILDING; <br /> <br />305 N. REGIS ST <br />STAYTON OR 97383 <br />PHONE; 769'-'2092 <br /> <br />~Kf~378-'8486 <br /> <br />, SUBDIVISION; <br /> BITTER HILLS ~2 <br /> <br /> SITE NUHBER: 92-02735 <br /> VALUATION: <br /> <br /> LOT: BLOCK: s~DYioNi : TOWNSHIP: : RANGE: 'ZONE: MAP: <br />8 2 29 85 iW AR 4~ <br />WIDTH: ~0~ DEPTH: ~ ~'~ ~ ~ ~ ~ <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 02145 <br />Eddie L Wilson <br />4077 State St <br />Salem~ 97301-5486 <br />PNONE: $99-Ii34 <br /> <br />9041505 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: YES <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM <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 />1 $210,,00 <br />I $220.00 <br /> <br />$43().00 <br />$210.00 <br />$220.00 <br /> <br />BALANCE DUE $0~0o <br /> <br />PAYEE: DUAL-I-TEE 8ILT HOMES <br />RECEIVED BY: CL .................................. <br /> <br /> RECEIPT NO: 440S8 <br />TYPE: CK CHECK ~: 5583 <br /> <br />SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEN. <br /> <br />NOTE: THIS DOES NOT GRANT OR IMPLY PERMISSION TO BUILD ON THIS PARCEL,. PLANNING AND <br />ONSTRUCTtON PERMITS MUST BE OBTAINED BEFORE BUILDING OR SEPTIC INSTALLATION BEGINS. <br /> <br />PLAN RE=EW: O ITV ,=SOIDT,O : ................ GAT ........................... <br /> <br /> OFFICE COPY <br />FORM ~f MC t5,56 REV, 4/90 <br /> <br /> <br />