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~~--~A R I 0 N~, ' <br /> COUNTY BUILDING INSPECTION <br /> SENLkTOR 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 />Other <br /> <br />this document. <br /> <br />hATE: <br /> <br /> DATE: 0.9/18/9~ .... TIME: 15:51:28 <br />' OWNER~ ' TAX LOT; <br /> JEFFREY, CHASE <br /> <br /> 125 FIRST ST <br />DETROIT <br /> <br />5320 NN ESTER ST <br />VANCOUVER, WA 98665 <br />PHONE: 206-695-0966 <br /> <br />OR <br /> <br /> 772-ii2 ,RESIOENTIAL <br /> ......... ...... CONSTRUCT ON TYPE ' OCCURANCY, <br /> <br /> -~ -~-~m~ .......... OGB; OO~UCANT LOAD. <br />97342 DETROIT qO , <br /> <br />aATTON 4DDIIION <br /> <br /> SITE NUMBER: 92-0~558 <br /> VALUATION: <br /> <br /> LOT: ' .............. BLOCK' ~ESTION; ' ~SWN§HI~ ........ 'qA~G~': ZONE "MAP'. <br /> <br /> 3 2 2 10 5E 105 <br />WIOtH. DEPTH'. AREA; UNITS~ RRE~. LOT CORNER; <br /> 90 98 8820 . SF NO NO <br /> <br />TYPE: ON-SITE SEWAGE <br />PERNIT OR APPLICATION NO: 904267~ <br />CONTRACTOR, NO. <br />JEFFREY, CHASE <br />5320 NW ESTER ST <br />VANCOUVER, NA ~8663 <br />PHONE: 206-6~5-0966 <br /> <br />WATER SUPPLY: <br />TESI HOLES READY: ~ <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES; <br />SEPTIC TANK PUMPED: <br />PREVIOU~ NO. BEDROOMS: <br /> <br />C <br /> <br /> ITEM <br />SiTE EVALUATION, FIRST LOT <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS: RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> i $220.00 <br /> <br />$220.00 <br /> $0.00 <br />$220~00 <br /> <br />8AUANOE DUE $0.00 <br /> <br />PAYEE: JEFFREY, C~,¢~,q~El(...~ INVOICE NO: 44755 <br />RECEIVED BY: MBr r~--u-2z~=~VT"~ -- TYPE: OK CHECK ~: 1006 <br /> <br />SEE ATTACNEO DOCUMENT FOR REQUI~REHENT8 OF ON-SITE SEWAGE SYSTEM. <br /> <br />NOTE: THIS DOES NOT GRANT OR IHPLY PERMISSION TO BUILD ON THIS PARCEL. PLANNING AN[) <br />ONSTRUCTION PERMITS/)IUST,BE OBT,AiNED BEFORE BUILDING OR SEPTIC INSTALLATION BEGINS. <br /> <br /> OFFICE COPY <br />FORM ~ MC 15~56 REV, 4/90 <br /> <br /> <br />