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MARION COUNTY BUILDING INSPECTION <br />SENATOR B/0G. NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4430 P.M · 8:00 A,M. <br /> <br />DATE: 06/03187 <br /> 8EEBE, RUSSELL <br /> <br />SI(3NATURE OF APPLICANT <br /> <br /> LOT <br /> <br /> CONSTF~UC'rlO N TYPE <br /> <br /> 10408 CHANPOEG RO~.D NE <br />~, ~ 9?002 <br /> <br />OXC~ I'U~LTER/DE~iI$ M[LLER REALTY IN <br />1585 NO,PACIFIC HI~Y,WD~I,O~E 97071 <br /> <br />TYPE: ON-SITE SI~A~E <br /> <br />PEr'lIT OR APPLICATION NO: <br /> <br />ODNTRACTC~, NO. <br /> <br />DI~LTE~D~I~ MILLER <br />1585 NO,P~IFIC H~,~N.ORE <br /> <br />7.40000 AC <br /> <br /> WATER ~UPPLY: <br /> TEST HOLES <br /> <br />2273 <br /> <br />SITE NUMBER: 1448 <br />VALUATION: <br /> ZONE <br /> <br /> 1W EFU <br /> N N <br /> <br />SITE EVALUATIC~ NUMBER= <br />EXISTING TANK SIZE: <br />~I~T~NG DRAIN FIELD LINES: <br />SEPTIC TANK ;~JMPED: <br />PREVIOUS NO, BEDROOMS. <br /> <br />MAP <br /> <br /> 4 <br /> <br />TOTAL AE~EO FEE.~ <br />PREVlOL~ RP~EIPT$ <br />THIS RECEIJ:~T <br /> <br />QU,,~d~ITZ TY AMOUNT <br /> 1 $6{3. O0 <br /> <br />$60.00 <br />$80.00 <br /> $0,00 <br /> <br />I~ALANCE DUE $0.00 <br /> <br />PAYEE: INVOICE NO~ <br />RECEIVE0 i~Y: CL TYPE~C;HECK ~: <br />-----'--- ................ ........... <br />SEE ATTA~ED ~ ~I~T~ ~ ~ITE <br /> <br /> ~HIS I$ A VALID PERMIT ~ THIS I~l~r EXPIRES 380 ~ F~ IT~ I~E ~. IF <br />~i~Z~ FAI~ ~ ~ A~ ~~ ~-,~, ~ ~O ~I~ ~ ~I~i~ ~O <br /> <br /> <br />