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MARION COUNTY BUILDING INSPECTION <br /> SENv~TOR BLDG NO. 225 <br /> 220 HiGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br />PHONE 588-5147 <br />CODE-A-PHONE 4:30 P M. - 8:00 A M. ~ <br />, ,~r~ Deriormin~ work O~3 a propecty I owl1 o( O~¢~Dy ~(~~ <br /> <br />DATE: 09/15/B? TIME~ 10~04:31a <br /> DETROIT RANGER STATION <br /> <br />3-105 <br />~ N ~NTI/~4 HWY <br />~T~IT OR 9~3~2 <br /> <br /> CO~4ER I C~NL <br /> <br />MAJ~ION COUNTY NO <br /> <br />SUSDt¥1SION <br /> <br />8 <br /> <br />DETt~OIT RANGER DISTRICT <br />HC 60 BOX 320 MILL CITY <br />PHONE= 85~-3365 <br /> <br />9?;360 <br /> <br /> SITE NUrflBER: 2518 <br /> VALUATION ~ <br /> ~ANGE ZONE MAP <br /> <br />10 5N TC 10~. <br />AC NQ NO <br /> <br />TYPE: ON-SITE SEt4AGE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTP, ACTOR, NO. 15477 <br />VALLEY PACIFIC <br />12312 SILVERTON RD <br />SIL~RTON, OREGON g?$81 <br />PHONE: 873-2'701 <br /> <br />g004347 ,,~ <br /> <br /> ITEM <br />STD ONSITE SY$ < 1000 GAL <br />C & R - EACH ADDL~ 500 GAL DSF <br /> <br />NATER ~J PPLY .* <br />TEST HOLES READy: <br />SITE EVALUATION NU~ERt 86-911 <br />EXISTING T~K SIZE: <br />EXiSTIN~ DRAIN FIELD LINES: <br />SEPTIC TANK PL~PED: <br />PRE'~OJS NO, BEDROONS: <br /> <br />PAYEE: VAM-EY PACIFIC <br /> <br />TOTAL A,~ED FEE~ <br />PREV IOd$ RECEIPTS <br />TH'rs RECEIPT <br /> <br />BALANCE ~UE <br /> <br /> qUANTITY ANOJNT <br /> 1 $125.00 <br /> I $10.00 <br /> <br /> $135,00 <br /> <br /> ~0.00 <br />RECEIPT NO.· 4911 <br /> 18000 <br /> <br />RECEIVED BY: c1 TYPE: CK CHECK <br />SEE ATTACHED DOCUMENT FOR RE(;UIRENENTS OF <br /> <br />~< 3HI,S IS NOT A PERI, IT. 31~I~ ..~mPLICATII~N I,tJS3' ~3 3HR01J~! ..e, i~ViEN PI~ ~ ',/HE <br />FOLL(~IN~ ~ B~ (X3~Pf.~. IT I~ 'llgE IISiLITY ~ 'IHE AP~LI~ TO ~ ]F~IAT <br />ALL Ni~-J~ECtli¥ INI~Tii3N <br /> <br />PL~ REVIEW: 8Y <br /> <br />I;~TE <br /> <br /> CITY JURISDICTION: 8Y_ ..... DATE_ <br />OFFICE COPY <br /> <br /> <br />