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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 325 <br />220 HIGH STREET NE <br />,~ad. EM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />COD~E-A-PI~ONE 4.30 PM. - 8:00 A.M <br /> <br />i am pm'fmlTw~ W~rk O~ e ~1'~/ I (xe'n ~' O~ <br /> <br />TINE= 3:40:37p <br /> <br />· tAX LOT <br /> <br />RE~InENTI~ <br /> <br />11952 STEINK, MqP RO <br />AUHSVILLE OR <br /> <br />9?325 <br /> <br />Ii,ARIaN COUNTY NO <br /> <br />3 <br /> <br /> 11952 STEINKAHP RD SE <br /> <br /> PHONE; <br />LOT I~OC~ <br /> <br />s~o?lo~ <br /> <br />SITE NUI~ER: <br /> <br />6694 <br /> <br />261 <br /> <br />D~PTH <br /> <br />299 <br /> <br /> 33 uN~ ~S ~,m== u~ 1N ~ <br />78039.0 SF NO NO <br /> <br />AR <br /> <br />TYPE: ON-SITE ~ <br /> <br />PEFe4IT O~ ~PLIC~TION NO: <br /> <br />11852 STEIN~ RD ~E <br /> <br />15621 <br /> <br />!~TER~.IPPLY: ~ <br />T~THOLES READY: <br />SITE EVALUATION NU.HBER= <br />EXISTING TANK SIZE. <br />EXI~"TIN$ DRAIN FIELD LINE~: <br /> <br /> ~[~NTI TY <br />SE < 6 I~:~/THS OLD 1 <br /> <br />TOTAL A.~ESBEO FEE~ <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />PAYEE: <br /> <br />$1~0.oo <br />$110.00 <br />$110.00 <br /> $o.oo <br /> $0. O0 <br /> <br />RECEIVED ElY: 1:~ TYPE~ CHECK #: <br />~ A'T'TA~.~E~) ~~ RE~UZR~rT~ OF ON--SITE SENAGE ~f~'i'EN~ <br /> S A V ID IT :~ I 8 T~ <br /> <br /> ,% <br />RENARI~: .SYEFEN R~I36,0 <br />I~NALD E. ~L~, ~RI~ ~ BUILDING ~FICI~ / BY ~ ~ <br /> <br /> <br />