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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 />of a registered builder, <br /> <br />Other <br /> <br />SI~NBTURE OF APPLIDAN¥: ~ <br /> DATE: <br /> <br /> 0ATE: 02/08/?3 '[IME: 9:38:30 <br /> <br /> CRAIG, MERIL & ANN "15060080 <br />SITUS ADDRESS' CONETRUCTION TYPE; <br /> <br /> 774~ fERR~NCE I_N SE CONTRACT CITY: UGh: <br /> ~UHSVZLLE 0R 97525 ~¢~RZON COUNTY NO <br /> <br />C~fEGORY: <br /> RESIDENTIAL <br />OCCUPANCY <br /> <br />OCDUPANTt. OAD; <br /> <br />SAHE <br /> SITE NUHBER: <br />PNONE: 749-1558 w~LUAT~ON: <br /> <br />93-00477 <br /> <br />LOT; BLOCK: , SECTION; T(~WNSHIP; RANGE. <br /> 26 8S 2~ <br /> 1.4] AC '40 <br /> <br />BONE <br /> <br />CORNER <br /> NO <br /> <br />MAi~ <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERHIT OR APPLICATION NO: 9045182 <br /> <br />CONTRACTOR, NO.. <br />CRAIG, MERIL & ANN .~---~ <br />SAME <br /> <br />PHONE: 749-,1558 <br /> <br />~ATER SUPPLY: PW <br />TEST NOLES READY: YES <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK ~UNPEO: <br />PREVIOUS N0~ BEOR00~S: 5 <br /> <br /> I TEi'i QUANT I TY AMOUNT <br /> Al.. 'r ERAT ION 1 $255. O0 <br /> <br /> TOT¢,L ASSESSED FEES $25~.00 <br /> PREVIOUS RECEI,~TS $o,.oo <br /> THIS RECEIPT $255_00 <br /> <br /> BALANCE OtJE $0_00 <br /> <br /> PAYEE: CRAIG, ifiERI/. & A~ RECEIPT NO: 47561 <br />:::::::::::::::::::::::::::::::::::::::::::::::: ............... ....... <br /> SEE ATTACHED BOCUNENT FOR REQUIRENENTS OF ON-SITE SEWAGE SYSTEN. <br /> <br />* THIS IS NOT A PERHIT~ THIS APPLICATION NUST 60 THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING HUST 8E CONPLETEO. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE, INAI' <br />ALL NECESSARY INFOEHATION HAS BEEN PROVIOEO. <br /> <br />REMARKS: ALTERATION DRAIN FIELD AND TANK <br /> <br />CITY JURISDICTION: BY ................ DATE ................. <br /> <br /> OFF[CE, COPY <br />FORM # MC 15-56 REV, <br /> <br /> <br />