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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 />The work will be performed by a registered builder. <br />Other <br /> <br />this document. <br /> <br />/L4. <br /> <br />BAGHR~MI~N~. GO08, KH :....~2825=~51 <br /> <br /> 7492 <br /> LOFTY <br /> LOOP <br /> SE <br /> <br /> 7725 ~STH ~VE <br /> SAL, E~ OR 97~5 SITE NUHBER: ~3-82518 <br /> PHONE: 3~8-5445 ~ VALUATI0N: <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION <br /> <br />CONTRAOTOR~ NO,, <br />BAGHRAMIAN, GOORIKH <br />7725 &5TH AVE <br />SALEM OR 97385 <br />PHONE: 398-5445 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: 79-782 <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NOw BEDROOMS: <br /> <br /> Il'EM <br />STANDARD ON-SITE SYSTEM <br /> <br />TOTAL ASSESSED FEES <br />PREViOUS,RECEIPTS <br />THIS RECE'IPT <br /> <br />'BALANCE'DUE <br /> <br />QUANTITY AMOUNT <br /> 1 $255.00 <br /> <br />$255.00 <br /> $0.00 <br />$255.00 <br /> <br />$0.00 <br /> <br /> PAYEE: BAGHRAMIAN,_EOQ~KH ' RECEIPT NO: 50921 <br /> <br />SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF!ON-SITE SEWAgES'SYSTEM, <br />~ THIS IS NOT A PERHIT. THIS APPLICATIOH, HUST,G~ THROUGH A REVIEW PROCESS WHERE THE ".' <br />EOLLOWI4G MUST BE 6BMPLETED~' IT IS'THE ~ESPONSIBtLIT¥ OF THE APPLICANT TO ASSURE THAT <br />ALL NECESSARY INFORMATION NAS"BEEH'PROVIDED, <br /> <br />~s-~ r~v, ~ OFFICE COPY <br /> <br /> <br />