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MARION COJJNTY.BUILDING INSPECTION <br /> SENATOR ,BLI~G. NO, 225 <br /> ~ 220 NIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P,M, - 8:00 A.M. <br /> <br />Othe~ . <br /> <br />SITUS ADOI~ .~*~J*~Y' '~:H [ k'IP .... <br /> <br /> 39566 sUT'TEVILLE RD NE <br />uA~s OIo~P~,tO,NG; ,, <br /> <br />PHONE: 878-1857 <br /> <br /> SITE NUt,~ER: <br /> ...........................· SECTION: , ~owNshlP: ' ": ~JATI ON: <br /> <br />' ' ' !A[qEA: 30 ........ 6~1T$: 4~ ;IRREG. <br /> <br />9141 <br /> <br />· co~N~n:EFU <br /> <br /> occuP^.c¥: EF.~I DENTIAL <br /> <br />· OCCUPANT LOAD: <br /> <br />2 <br /> <br />TYPE: ON-SITE SFJHAGE <br /> <br />PER~IT OR APPLICATION NO~ 9021079 <br /> <br />CONTRACTOR. NO. <br />HATHAI*/AY. PHILIP <br />SAME <br /> <br />PHONE: <br /> <br /> ITEM <br />AUTHORIZATION NOTICE - FLD. VISIT <br /> <br />PAYEE~ HATHAINAY, <br />RECEIVED BY: PR , ~:" <br /> <br />WATER.SUPPLY: PH <br />TE~T HOLE~ READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: 1000 <br />EXISTING DRAIN FIELD LINES: <br />SEPTICTANK 'PLINPED= <br />PREVIOUS NO. <br /> <br />400 <br /> <br /> ~ANTIqP¢ NcOJNT <br /> 1 $105.00 <br /> · 'TOTAL. ASSESSED; FEES $105,00 <br /> · PREVIOUS RECEIPTS $0.00 <br /> THIS RECEIPT $~05.00 <br /> <br /> $0.00 <br /> <br /> , RECEIPT NO.' 225~2 <br />:' ,.".",",' . . . ' TYPE+. 'CK CHECK ~.~ 804 <br /> <br />BAtJ~CE DUE <br /> <br /> SEE ATTACHED DOCUMENT FOR REQ0~' ".~. S OF ON-'~ITE SEHAGE bS"STB~,I. <br />* ~HI8 IS NOT A ~IT. ~zs'.~I~ ~ ~~ A ~[~ ~ ~ ~E <br />~I~ ~ BE ~~ .I~, ~ ~ · ~IBILI~ ~ ~E ~PLI~T TO ~ ~T <br />~L N~ I~TI~ ~ a~ ~I~ ...... <br /> <br />PLAN REVIEW: 8Y J~ DATE~ <br /> ~1,~- <br /> <br />REMARKS: AUTH NOTICE - FLD VISIT <br /> <br />cITY JURISDICTION: 8Y~__ <br /> <br />DATE <br /> <br /> <br />