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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 />lamaregisteredbullderOR( ) the authorized representative <br />Other <br />DATE: 08/06/9;~ TIME,.. <br /> <br />SITUS ADDRESS; I CONST~UO¥ ON TYPE; OCCUPANCY: I <br /> <br /> 18626 BUTTEVILI.E RD NE <br /> AURORA OR ~7882 ~'~i~UNT~-~ <br /> <br />SAME <br /> <br />F'HUNE:: 982-9217 VALUATION: <br /> 6o 48 , :tW J EFU ~ 6 <br /> <br />48571 <br /> <br />WATER SUPPLY: PW. <br />TEST HOLES READY. YES <br />SITE EYALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br />TY?E: UN-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION <br /> <br />COIITBACTOR~ NO. <br />BAILEY~ JAMES <br />SA~E <br /> <br />PHONE: 982-~217 <br /> <br /> ITEM QUAN'rII'Y AMOUNT <br />STANDARI) ON-SITE SYSTEM 1 <br />S~TE EVALUATION~ FIRS~ LOT <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS'RECEIPTS <br />THIS RECEIPT <br /> <br />$520.00 <br /> <br /> sm. em <br /> <br />PAYEE: RECEIPT .N0: <br />RECEIVED BY: PB .......................................... TYPE: CHECK ~: 0 <br />SEE ATTACHED DOCUMENT FOR REQUIREMENTB"0F 0N-SITE SEWAGE SYSTEM. <br /> <br />NUTE: THIS I)OES NOT GRANT OR IMPLY PERMISSION TO 'BUILD ON THIS PARCEL. F'LANHING AND <br />ONSTI~UCTION RERfiITS HUST BE OBTAINED BEFORE BUILDING OR SEPTIC iNSTALLATION 1EEGIqS. <br /> <br />REMARKS: <br /> <br />D4]NALI) E., <br /> <br />SE/SS <br /> <br /> WOODLEY, HARION COUNTY BUILDIHG OFFICIAL / BY <br /> <br />Fo~ # MC ~s-~ me,', ~/~o OF FICE COPY <br /> <br /> <br />