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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE; 58.8-5147 8:00 - 4;30 <br />24 HOUR CODE~A-PHONE: 588-7904 <br /> <br />DATE: 09/24/92 TIME: 9:14:4). <br /> ) RE~ OENTIAL <br /> <br /> ~ DITTER MILLS TRACTS <br /> 11644 JAMES WAY DR SE ~ ........................................................... <br /> AUHSVILLE 97325 ; ~TE NU~BER: 92-0~08~ <br /> PHONE: 749-i410 ~ VALUATION: <br /> <br /> , 2 28 8S 1W ~ AR .... <br /> 48 <br /> <br />TYPE: GN-SIT~ SEWAGE <br /> <br /> WATER,SUPPLY: PW <br /> TEST HOLES READY: YES <br /> SITE EVALUATION NUHSER; <br /> EXISTING TANK SIZE; <br /> EXISTING OR~IN FIELD LINES: <br /> SEPTIC TANK PUMPEO: <br />· ..pREVIOuS. NO. 8EDROOHS; <br /> <br />CONTRACTOR. NO. <br />CH~SE, ELMER <br />1).644 JAMES NAY DR SE <br />~UMSVILLE 97~25 <br />PHONE; 749-1410 <br /> <br /> ITEM · .. QUANTITY AMOUNT <br />SITE EVALU~TION~ FIRS~ LOT." i $220.00 <br /> ,:.'..:',,..'~....".','...~OTa~'ASSE$~D~iFE£S $220.00 <br /> ':..:".':~:',"-',.,",' ..... '",,PRE~t~.S"~ff~fft,PTg. $220.00 <br /> : "i":?..:':': 'i.';; ':~: ,',,,. ?..!.:.;,'~H'I~' R£SEIPL..:::" :' $0. O0 <br /> :',,.,:,:':'-; ......... , ...... <br /> ; ..,.,¢,aC*N¢.~ ~'UE.i.,' , $0.00 <br /> <br />PAYEE: ' ','"'-'...'..' "':' RECEIPT NO: <br />RECEIVED BY. PB ........ :! ...... _...__:_.._~ ..... · TYPE, CHECK ~. 0 <br /> <br />SEE ATTACHEO DOCUMENT FOR'RE~UIREMENIS~OF' ON-SITE'S.EW~E SYSTEM. <br /> <br />NOTE; THIS DOES NOT eRAN'T. OR ZHPL¥"..PE~'~S'$'~ON '¥o'BUILD,':;ON. THIS PARCEL. PLnNNZN~ ANO <br />ONSTRUCTION PERMITS MUST BE OBTaINED'BEfORE BUILDING 'OR SEPTIC INSTALLATION 6E6INS. <br /> <br />REMARKS: SITE EVALUATION STO, SYSTEft <br />DONALD E. WOODLEY, ttARION COUNTY BUILDING OFFICIAL / BY' <br /> <br />OFFICECOPY <br /> <br />~ORM # MC 15-~ REV, <br /> <br /> <br />