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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 />The work will be performed by a rogistered builder. <br />Other .... <br /> <br /> DATE; 07/25/92 TIM[}:: 15:16:01 <br /> STANLEY,S'rEVE <br /> <br />TAX LOT: <br /> ~-)0250-5 :[0 <br /> <br />CONSTRUCTLON TYPE: <br /> <br /> 139 4TH ST <br />[)EI'F~O Z f OR 97,342 <br /> <br /> USE OF BUILDING: <br /> <br />: ~tAILIN~ ADDRESS; <br /> <br />LOT: <br /> <br /> 1 <br />WIDTH: <br /> <br /> PATTON ADOII'ION <br />lB04 PEPPERTREE CT <br />SALEM OR 97806 SITE NUMBER: 92-02515 <br />{:'HONE: 1578-1602 ~ VALUATION: <br /> <br /> BLOCK: SECTION: TOWNSHIP: ' RANGE: <br /> 6 I lO 5 R <br /> 90 117 10530. ~F NO <br /> <br />CATEGORY: <br /> RES fOENTIAL <br /> <br />OCCUPANCY; <br /> <br />!OCCUPANT LOAD: <br /> <br />MAP: <br /> <br /> 1. D 5 <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />STANLEY,STEVE <br />~804 PEPPER'~REE CT <br />SALEM OR 97306 <br />PBONE: 37B,'-1602 <br /> <br />41131 <br /> <br />~ATER SUPPLY: <br />TBST HOLES READY: YES <br />SITE EVALUATION NUMBER: <br />EXIS'I'INB 'TANK SIZE: <br />EXISTING [)RAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO- BEDROOHB; <br /> <br /> I'rEM <br /> , ].R<~T LOT <br />SITE EVALUATION, - " <br /> <br />'rOYAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />TMIB RECEIPT <br /> <br />QUANT i r'Y AMOUNT <br /> ;}, 't;::! :? D 00 <br /> <br />Sz.z DD <br /> $ 0. G D <br /> <br />BALANCE DUE $<,,0/, <br /> <br />PAYEE: IN VO IC~;; NO: <br />RECEIVED BY: PB ................................................................ TYPE: CBHCK ~: 0 <br /> <br />SEE ATTACHED DOCUHENT POR REQUIREHENTS OF OH-SITE SEWAGE <br /> <br />NOT'E: THIS DOc, o NOT BRANT OR IMPLY PERMISSION TO BUILD ON THIS PARC,] PLANN,.NB AND <br />ONSIRLICTION PERMITS /dUST BE OBTAINED BEFORE BUILDING OR SEPTiD INSTALLATION B~BIq, . <br /> <br />RBHARKS: SITE EVAI_.UATIOR <br /> <br />DONALB E. MOO[)LEY, HARION COUNTY BUlL, DING C, FFIDIAL / BY <br /> <br />FORM # MC 15-56 REV, <br /> <br />OFFICE COPY <br /> <br /> <br />