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DONALD E. <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> DATE" .1.2/02/92 TIME: 15:4.~:38 <br />OWNER: YRERRIEN, HARRY ............. ~"~"~(~"-"0~;~) ................ !'~NT'IAL <br /> <br /> 7908 STON~ELD CT SE <br /> AUHSVILLE OR 97525 ~'~'~8~'~-;-~T ........... ;~bbPA'N~ LbAD: <br /> <br /> STONE FIELD GLEN <br />777;L TERRANCE LANE <br />AUNSVILLE 97525 WK 750--4552 ......... SIT~E--NOMi~"~"' '¥2'--'0~'~''' <br />PHONE: 749-266~ VALUATION2 <br /> <br />LOT: ~LOOK: ' <br /> 4 <br /> <br /> TYPE: ON-SITE SEWAGE <br /> <br /> PE~HIT OR APPLICaTiON NO: <br /> <br /> CONT~ACTOR, NO. <br /> TNERRIEN~ HARRY <br /> 7771 TERRANGE LANE <br /> AUMSVILLE 97~25 ~K 750-4552 <br /> PHONE: 749-2666 <br /> <br />:S~Ct~ON: "fSW~MI'R ........ "~&g': ................ z~: ...... :'a^P: <br />26 8S 2W AR · 51 <br /> <br /> WATER SUPPLY: PW <br /> · ,TEST HOLES READY: <br /> SITE EVALUATION NUMBER: 7-76~8 <br /> EXISTING TANK SIZE: <br /> EXISTING DRAIN FIELD LINES: <br /> SEPTIC TANK PUNPEO: <br /> PREVIOUS NO. BEDROOMS: <br /> <br /> I TEN QUANT I TY AMOUNT <br /> SAND FILTER 1 $365.00 <br /> TOTAL ASSESSED FEES $565.00 <br /> PREVIOUS RECEIPTS $210.00 <br /> THIS. RECEIPT, , $o_o0 <br /> :' '," ~'8~L~'A~CE~OUE '' $155.00 <br /> PAYEE: RECEIPT NO: <br /> RECEIVEO BY: CL TYPE: CHECK tf: 0 <br /> ............... ~%_--_%,~_- ~ _ _.~,~% _-,~ _~_ ..... ~%-~%~ ........................................... <br /> SEE ATTACHED DOCUHENT FOR REQUIREHENTS OF ON-3ITE SEWAGE SYSTEH. <br /> <br />* YHIS IS NOT A PERMIT. THIS RPPL'rCRTZON MUST GO THI~OUSH ~ REVIEW PROCESS WHERE THE <br />FOLLOWING MUST BE COMPLETED. ~T IS THE RESPONSIbILiTY OF THE APPLICANT TO ASSURE THAT <br />ALI. NECESSARY INFORHATION HAS BEEN PROVIDED. <br /> <br />PLAN REVIEW: BY ................ DATE ............. CITY JURISDICTION; 8Y ............ OATE_Z ................ <br />REMARKS: NEW SEPTIc SYSTEH -OLO SITE EVAL DOES NOT SHOW APPROVED AREA - TE'ST <br /> MOLES READY i~-18-92 L6 Z2-2-~2,,,HOLD FOR 8AL OUR & SANOFiL'fER <br /> <br />r,~ ~ Mc ~.~ n~v. ,w OFFICE COPY <br /> <br /> <br />