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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; 58~7904 <br /> <br />DA'rE= 03/2,0/92 TIME= 9:18:16 <br /> <br /> ROOP, JOHN ~ LOIS <br /> <br />TAX LOT <br /> <br />61327-000 <br /> <br /> 11982 DIECI'~VIAN LANE <br />AUMSVILLE <br /> <br />USE OF BUILDING <br /> <br />OR 9?325 <br /> <br />P~A. RION CCUNTY NO <br /> <br />4940 SLINNYSIDE RD SE :[~'B8 <br />E, AL.PSVl OR 9?302 <br /> <br /> SiTE NU~ER~* g2-00947 <br /> VALUAT iON: <br /> <br />AC NO NO <br /> <br />OCCUPANCY <br /> <br />RE.51 DEN1 <br /> <br />NO OF 8(DgOOU$ <br /> <br />MAP <br /> <br />TYPE: ON-SITE ,~E <br /> <br />pERtVlll OR APPLICATION NO: ~420 <br /> <br />CONTRACTOR, NO. <br />ROOP, JOHN & LOIS <br /> <br />~,ALF, SM OR 9'1302 <br />PH~E:: 363-1848 <br /> <br />WATER SUPPLY; PN <br />TIS'~T HOLP.~ READY*. NO <br />SITE EVALUATION NUt, I~EN; <br />EXISTTNG rANK SIZE: <br />~lSTiNG D~[N FiELO LIN~: <br />SEPTIC r~K ~EO: <br />PR~I~ NO. BED~: <br /> <br />~IrE I~VALUAT]OH, F:I~t' LOT <br /> <br />")cOT'AL ASSESSED ?EF_~ <br />PREVIOUS RECEIPTS <br />THiS RECEIPT <br /> <br />BALANCE [X,JE <br /> <br />~XJANTI TY <br /> 1 <br /> 1 <br /> <br />AF1OUNT <br /> 1115.00 <br /> 22O.0O <br /> <br /> $335.00 <br /> $336.00 <br /> $o.oo <br /> <br /> $o.oo <br /> <br />PAYEE: RECEIPT NO: <br />RECEIVE0 BY: cl TYPE: CHECK ~: 0 <br /> <br />SEE ATTACHED DOCU~T FO~ RE(:~JiRB~SNT~ OF ON~ITE S~E ~YSTP-~I, <br /> <br />NOTE: THIS DOE~ NOT GRANT OR I~PLY PER~IE~I[~ TOBUILOON THIS PAI~EL+ i>L~iN~AND <br />OSNSTRUCTION PEI~IlTS ~.I~T BE ~TAiNED BEFORE BUILDING OR SEPTIC INSTALLATION BEgiNS. <br /> <br />REI~ARKS: SiTE EVAL ~ STANDARO SY~I~4 ~ <br />CONALO E. ~FJODLEY, l~d~lON CCXJNTY BUILDING OFPiCIAL /~ ...................~ <br /> <br />OFFIcECOPY <br /> <br /> <br />