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NNTY BUILDING INSPECTION <br />ATOR BLDG. NO. 225 <br /> 220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE; 588-5147 8:00 - 4:30 <br /> 24 HOU. OOOE-^-PHO.E: <br /> <br /> am performing work on a property I own or occupy, <br /> <br /> . . , - ed on the reverso ~de of O <br /> <br />ow~e~; D~TE: 02/10/95 TZHE: ~6:2~: ].f tAX LO'r CATEGORY <br /> SNYDER, D~NIEL ~. 156505-000 RL,~O~:.Nf~,. <br /> <br /> ],I8.L6 STE[NKANP RD <br /> AQMSVILLE OR 97~2! MARIOF <br /> <br />USE OF BUILDING; <br /> <br /> 7iS EWALD AVE ~E <br /> <br />SALEM OR 97302 <br />PHDNE: 756;5 <br /> <br />LOT; BLOCK' SECTION TOWNBHI¢' <br /> <br />5 . 5~ <br />WIDTN: DEPTH. AREA: _ NITB; <br /> <br /> 1 ,, .5 AC <br /> <br />CO[JNTYi NO <br /> NO OF <br /> <br />SITE NUMBER: 93-00545 <br />VA[_ JA'l ION: <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: 9045275 <br /> <br />CONTRACTOR, NO. <br />SNYDER, DANIEL, <br />71S EWALD AVE SE <br />SALEM OR 97502 <br />PHONE: <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: FIG <br />SITE EVALUATION NUNB~R: <br />EXISTING 'rANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIB TANK PUMPEO: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM <br />SITE EVALUATION, EA. ADOL. LOT <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> 1 $225_00 <br /> <br /> $0, O0 <br />$225 ,, DO <br /> <br />BALANCE DUE $0_00 <br /> <br />PAYEE: SNYDER, DANIE[,,,,4~. RECEIPT NO: . 474.50 <br />RECEIVED BY: MB I~^I"'~..,,__ TYPE: CK CHE(.K <br /> <br />SEE ATTACMEO DOCUMENT FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEH. <br /> <br />NOTE: TNIS GOES NOT GRANT OR IMPLY PERMISSION TO BUILD ON IBIS PAROEL. PL. ANM~NG ANG <br />ONSTROCTiON PERMITS MUST BE OBTAINEO BEFORE BUILDING OR SEPTIC INSTALL. AT;~ON [4.6[N .... <br /> <br /> // <br />REMARKo,, S~'FE EVALUATION LOT 5 <br /> <br /> OFFICE COPY <br />FORM 4, MD 15-56 REV. 4/90 <br /> <br /> <br />