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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG,, NO. 225 <br />2~0 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-$147 S:O0 - 4:$0 <br />24 HOUR CODE-A-PHONE; 588.7904 <br /> <br />am DertOrm ng work on a property t own or oeo~lsy <br /> <br />DATE~ 07/28/92 T~M~: 11:42:27 <br />BAXTER, AYAH <br /> <br />TAX LOT <br /> 90220-470 <br /> <br />RESIDENTIAL <br /> <br /> 370 SANTIAM AVE <br />DETROIT <br /> <br />OR 97342 <br /> <br />8085 E 68TH <br />PORTLAND, OR 972Z5 <br />PHONE: 253-2004 <br /> <br />SITE NUMBER: 92-0i0~4~ <br />VALUATION: <br /> <br />LOT BLOCK <br /> <br />WIDTH <br /> <br /> OEPTH <br /> SO <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERHIT 0~ APPLICATION <br /> <br />CONTRACTOR, NO. <br />~AXTER, AYAH <br />8085 E 68TH <br />PORTLAND. OR 972~5 <br />PHONE: 253-200~ <br /> <br />5000. <br /> <br />iD 5~ <br />UNIT~ IRPEG LOT CORNER <br />SF NO NO <br /> <br />WATER SUPPLY: CW <br />TEST HOLES READY: NO <br />$)TE EVALUATION NUMBER; <br /> <br />EXISTING DRAIN FIELD <br /> <br />PREVIOUS NO. ~EDROOflS; <br /> <br /> ITEM QUANTITY AHOUNT <br /> REPAIR - MAJOR i $105.00 <br /> <br /> TOTAL ASSESSEO FEES $i05.o0 <br /> PREVIOUS RECEIPTS $0.00 <br /> THIS RECEIPT $105,00 <br /> <br /> BALANCE DUE $0.00 <br /> PAYEE; BAXTER, RYAN INVOICE NO: 43609 <br /> RECEIVEO BY: el__ TYPE: CK CHECK ~: 0 <br /> <br /> SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-BITE SEWAGE SYSTEM. <br /> <br />* THIS IS NOT A PER~iT. THIS APPLICATIOE ~UST eO THROUGH A REV[EH PRO,ESS #HEI~E THE <br />FOLLONING MUST BE COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />ALL NECESSARY [NFORHAT~ON NAS SEEN PROV~OEO. <br /> <br />OFFICE COPY <br /> <br /> <br />