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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 228 <br />22_0 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:;30 P.M. - 8:OO A,M. <br /> <br />t am a registered buiide¢ OR ( ) the #uthc~rized representalive <br />The work will be ~edormed by a regletered ~uilde~+ <br /> <br />11/09/89 TI~E= 12:09:55p <br /> <br />TAX <br /> <br />CATEGORY:: <br /> <br />OCCUPANCY REsIDENTI~ <br /> <br /> 10877 STAYTON RD <br />AUM~VI LEE . OR- <br /> <br />MAR:ION couNTY <br /> <br />PHONE~ <br /> <br />SITE NUt'ER: 87~.5 <br /> <br />, , ' 'NC~ Nn <br /> <br />TYPE: 0N-SITE ~ <br /> <br />PERNIT OR APPLICATICt~ NO: <br /> <br />CONTRACTOR. NO. 3~91~P~2 <br />STAYTON M,[LL cITY S~LVERTON <br />41155 E~-AYTON SOlO DR~[VE, SE <br />$TAYT(3~. OREGON 97383 <br />PHONE = 769-2-102 <br /> <br />~0q8989 <br /> <br />WATER ~JPPLY .* <br />T~T HOLE~ READY: <br />~ITE EVALUATION NU~ER: <br />EXISTIN& T~K ~1ZE: <br />~[ST~NG D~N FIELD LZN~: <br />SEPTIC T~K <br />PR~I~ NO, <br /> <br />]:TENt ~XJANT[TY <br />~EPAIR - MAJOR <br /> <br /> TOTAL AS,~ESSED FEE~ <br /> PREVIOUS R~I PTS <br /> ~I~ RECEIPT <br /> <br />8AI..a~CE CUE <br /> <br />PAYEE: STAYTON MILL CITY 5ILVERTON SEPTTC RECEIPT NO: <br />RECEIVED BY: c] TYPE: CK CHECK ~t: <br /> <br />SEE ATTACHED DOCUMENT FO~ RE~JIRE/~-~T,~ OF Ctd-.E~[TE E~EWA~E ~YSTEM. <br /> <br /> AFOJNT <br /> <br /> $80-00 <br /> $0.00 <br /> $80.00 <br /> <br /> $0.00 <br /> <br />21382 <br />11~25 <br /> <br />· THIS IS NOT A IT. THIS APPL)CATZON NLL~'T GO TH~OIK~9 A REVIE~ <br />R3LLOWIN~ IwfJST BE CCt4PLETED. IT IS THE EE~°CNSIBILITY OF THE APPLICANT TO A,,q~JR~ THAT <br />ALL NECE~ INFOEMAT~ON HA~ BEEN PI4OVIOED. <br /> <br />PLAN R~VIE~: 8Y .... DATE; CITY JURISDICTION: I~Y._~.~__ DATE <br />REMARk: M~,JOR REPAIR TANK ~ DRAINFLO ~Tg~.I <br /> <br /> <br />