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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, QREGON 97301 <br /> <br /> PHONE:588-5147 8:00- 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am performing work on a ppoperty I own or occupy, <br />18maPegister~d builder OR( )theauthO¢ized representative <br />of 8 registered builder, <br />The we'rk will be perfortned by a registered builder, <br />Other <br /> <br /> OATE: i2/04/92 <br /> <br /> ALLEN, KENNETH <br /> AUH~,L LE - PLACE <br />USE OF BUILDfNG; <br /> <br /> SE ..... CONTRACT CITYL, UGg: OCCUPANT LOAO: <br />OR 97525 ,MARION COUNTY: NO <br /> <br /> SUBDIVISION', <br /> <br />LOT: <br /> <br />WIDTH: <br /> <br />'7927 S'FONEFIELO COURT <br />AUMSVILLE OREGON 97525 SITE NUMBER: 92-0;5802 <br />PHONE: 747-1.960 VALDATION: <br /> <br /> BLOCK: S~CTiON; TOw~HIP'.' RANGE; ; ~N~ <br /> i8 . AC , YES . NO <br /> <br />MAP: <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERHIT OR APPLICATION NO: 43476 <br /> <br />CONTRACTOR, NO. <br />ALLEN, KENNETH <br />7927 STONEFIELD COURT <br />AUMSVILLE OREGON 97325 <br />PNONE: 749-1860 <br /> <br />NAI'ER SUPPLY: PW <br />TEST HOLES READY: NO <br />SITE EVALUATION NUHBER: <br />EXISTING TANK SIZE; <br />EXISTING ORAIN FIELO LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM <br />SITE EVALUATION FIRST LOT <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />?HIS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> 1 $220.00 <br /> <br />$220.00 <br />$220..00 <br /> $0.00 <br /> <br />8AL, ANCE DUE $0.00 <br /> <br /> RECEIPT NO: <br />TYPE: CHECK ~: 0 <br /> <br />PAYEE: <br />RECEIVED BY: PB .......................................... <br /> <br />SEE ATTACNEO OOCUMENT FOR REQUIREHENTS OF ON-SITE SEWAGE SYSTEM. <br /> <br />NOTE: THIS DOES NOT GRANT OR IMPLY PERMISSION TO BUILD ON THiS PARCEL. PLANNING AND <br />ONS'FRUCTION PERMITS MUST BE OBTAINED BEFORE BUILDING OR SEPTIC INSTALL, ATION BEGINS. <br /> <br />REMARKS: SITE EVA[, <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDIN8 OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />