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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: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />SIGNATURE OF APPLICANT: ................................................ <br /> SATE: .............................. <br /> <br /> DAVIDSON, JOHN : 591000 ·RESIDENTIAL <br />SITUS ~DORE8~; ......................................................................... CONSYRU~ION TYPE: J ~UPANOY:' ' <br /> <br /> 25922 BUTTEViLLE RO NE ."'~¥~f'~J~ .......... ;-g~'~ ................................ ~CUPANT LOAS; <br /> AURORA OR 97002 iMARION COUNTY:. NO <br /> <br /> / 547 SE 74TH PORTLAND~ O~ I . SI~E N~BER: <br /> <br /> ...................... Z~ ............................ <br /> <br /> TYPE: ON-SITE SE#AGE NATER SUPPLY; PN <br /> TEST HOLES READY: <br /> PERN[T OR ~PPLICATiON NO: ~04400~ S[T~ EYALU~TION <br /> CON~o^~ ,,~ EXISTING TANK SIZE' <br /> <br /> / ou,C~; ~U~L[~ ~ PREVIOUS NO.'BEOROOHS- <br /> ~ 5q7 ~E 74TH PORTL~NO, OR ) <br /> PHONE' 253~847 <br /> <br /> ITEM <br /> SiTE EVALUATION, E~. ADDL. LOT QUANTITY ~HOUNT <br /> I $185.00 <br /> <br /> PREVIOUS RECEIPTS $0.00 <br /> THIS RECEIPT <br /> <br /> PAYEE: D~VI~SON, 3OHM <br /> RECEIVED BY. CL RECEIPT NO: <br /> ..... TYPE: CK CHECK ~ <br /> SEE ~TTACHEO OOCUMENT FOE REQUIREMENTS OF ON-SITE SEWAGE SYSTEM. <br /> <br />NOTE: THIS DOES NOT, GRANT OR IMPLY PERMISSION TO GUILD ON THIS PARCEL. AN lNG AND <br />ONSTRUCTION PERHIT~/~U~,,~T BE 06TAINEO BEFORE BUILDING OR SEPTIC INSTALLATION ~EGINS. <br />PLAN REVIEW= <br /> <br />REHARKS: SiTE EVALU <br /> <br />OFFICE COPY <br /> <br /> <br />