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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 22S <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 888-8147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />of a regist' red builder, <br /> <br />Other ~ <br /> <br />OWNER: D~ rE: :.i: 02/10/95 <br /> ,"?NYOEr~, DC/NIEI., E,, <br />SITdS AGORESS: <br /> <br /> CATEGORY: <br /> <br />rS'" 000 RESIDENTIAL <br /> N TYPE'. OCCUPANCY; <br /> <br /> 118i4 S1'EINKANP RD SE <br />AUMSVIL, LE OR 97325 <br /> <br />715 EWALD AVE SE <br />SALEM OR 97502 <br />PHONE: 565-6518 <br /> <br />,LOT: <br /> <br /> 2 <br /> <br /> OONTRAdT ciYYi U~: ' :dccUPANT LOAD: <br />; MARION COUNTY: NO <br /> <br /> SITE NUMBER: 9'3-00541 <br /> VALUATION: <br /> <br /> }~GWN§~',. : nA~: : nAP; <br /> <br /> ! a <br />AREA: : UNITSZ <br /> <br /> 1.5 ~C HO NO <br /> <br />TYPE: ON-SITE SE~GE <br /> <br />PERMIT OR APPLICATION NO: 904527i <br /> <br />COHTRAC~OR MO,, <br />SN~DER~ DgNIEL~E. <br />71,) EWALO AVE SE <br />SALEM OR 97502 <br />PHONE: $65~-6518 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: NO <br />SITE EVALUATTON NUMBER: <br />EXISTING TANK SZZE: <br />EXISTING DRAIN FIELD LIMES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM <br />SITE EVALUATION, FIRST. LOT <br /> <br />TOTAL. ASBESSED FEES <br />PREVIOUS RECEIPTo <br />THIS RECEIPT <br /> <br />QUANT I I'Y AMQUN 1' <br /> ]. $ 2 6 5 ,, o 0 <br /> <br /> $0_00 <br />$265. O0 <br /> <br />BALANCE OLJE $0.00 <br /> <br />PAYEE: SMYDER,, O~ilLI,,:E~,/~. RECEIPT NO: 47448 <br /> <br />SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE SEWABE SYSTEM. <br /> <br />NOTE." THiS DOE!,: NOT BRANT OR IHPL,,Y PERMISSION TO BUILD ON THIS PARCEL. PL_ANN{N(.-i AND <br />ONSTRUOTION PERMITS ifiUST BE OBTAiNEO BEFORE 8UiLOINB OR SEPTIC" <br /> <br />PLAN RE'VZE~: 8Y .......... TE ........ ~_ C~TY 3UR]SDICT~ON: BY .................... D~TE ................... <br /> <br />REMARKS: B~Ttf. EVAL.,UA'flON TEST MOLES ~OT READY <br /> <br /> OFFICE COPY <br />FORM # MC <br /> <br /> <br />