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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 />lama~e~isteredbuilderOR( )theauthorlzedrepresentadve <br />Othor <br /> <br />.'1 " <br />OWN£n, DATE: 0311,,,-19".'; TIME: <br /> <br />S,TUS ADO,~'.~ER¥ DANIEL E. <br /> <br /> 0~SJ OCObPANT LOAD: <br /> : CONTRADT D[TY: <br /> 11814 STEINKAMP RI) ,,SE <br />us~ o~ mU,LO~A~MSVILL'E "'--"--! NO O~ <br /> <br />~tLtN~ AD D RE--$-~" <br /> <br />SUBDIVISION; <br /> <br />LO'f: <br /> <br />715 EWALD AVE SE <br />SALEM OR 97,~02 <br />PHONE: ~6~-6518 <br /> <br />~ITE HUMBER: 93-08541 <br />AL. IJATION: <br /> <br />MAP: <br /> <br />1 5 AC NO NO <br /> <br />TYPE: ON-S~TE SEWAGE <br /> <br />PERHIT OR APPLI6ATIOH <br /> <br />CONTRACTOR. <br />SNYBER, DANIEL. E. <br />715 EWALB AI/E SE <br />SAI..EM OR <br />PHONE: <br /> <br />45271 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES R[ADY: NO <br />SITE EVALUATION NUMBER: <br />EXISTIN6 TAHK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM QUANTITY AMOONT <br />SITE EVALUATIOI% FIRST LOT 1 $265. <br /> <br /> TOTAL ASSESSE <br /> PREVIOUS RECEIPTS <br /> THIS RE[~EIF'T <br /> <br /> BALANCE DUE <br /> <br />PAYLE. RECEIPT <br />RECEIVE~ BY: PB ....................................................... TYPE: CHECK ~: <br /> <br />SEE ATTACHED DOOU~ENT PO~ REQUIREMENTS OF ON-SI~E ~EWACE <br /> <br />NS'rE; TH]iS ;~)OES NOT GRANT OR IMPLY F'ERMISSION TO BUILD ON TH,I.S PARCE:L. PLANNING AND <br />ONSTRUCTION PIERMITS MU~T BE OBTAINED BEFORE BUILDING OR SEPTIC IIqSTALLATION BEGII,tS. <br /> <br />RE. HARI,,.~,, oI'IE EVALUA'T~'.ON. C, APP:(NG FIL.L SYS'fEN. <br /> <br />DONAI,,,D E. WSOI%,EY,$ MARION COUNTY BIJIL;O:rNG OFFICIAL / BY <br /> <br />FORM # MC 1 ~-5(; REV, 4/9o <br /> <br />OFFICECQPY <br /> <br /> <br />