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MARION COUNTY E~UILDING INSPECTION <br />SENATOR BLOC, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br />OATE: 02/.08/.9~ TIHE: 9:38:30. <br />CRAIG, MERIL & ANN <br /> <br /> PHONE; 588-5147 8:00 - 4;30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> 7741 TERRANCE LN SE <br />AUMSVILLE OR 97S25 <br /> <br />75060080 RESIDEN?IAL <br /> <br />, HARION COUNTY, NO <br /> <br />eui~o{N~i .......... <br /> <br /> PHONE: 749-$558 <br /> <br />.......................... . su~mvmioa; ...................... <br /> <br />TYPE= ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NOs <br /> <br />CONTRACTOR, NO. <br />CRAIG, MERIL & ANN <br /> <br />PHONEs 749-1558 <br /> <br />9045182 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: YES <br />8~TE EVALUATION NUMBER; <br />EXISTING TANK SI~E: <br />EXISTIN~ ORAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS MO, BEDROOMS: ~ <br /> <br /> ITEH QUANTITY AMOUNT <br /> AL'rERATION 1 <br /> <br /> TOTAL ASSESSED FEES $255.00 <br /> PREVIOUS RECEIPTS $o.00 <br /> THIS RECEIPT $2.55_00 <br /> <br /> BALANCE CUE $0.00 <br /> P~YEE: CRAIG, MER[L~.x,~ & ~JCN RECEIPT NO; 4736~ <br /> RECEIVED BY-MB ...... TYPE CK CHECK ,:- 8687 <br /> ............ :_--:~-~:_.~;: ...... ............................. : ............... Z ............... <br /> SEE ATTACHED OOCU~ENT FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTEM. <br /> <br />= THI~ l$ NOT A PERHIT: THIS RPPLICAT~H HUST GO YHEOUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING MUST BE ¢OMPLETED~ IT ~$ THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />ALL NECESSARY INFORMATION HAS BEEN PROVIOEO. <br /> <br />REMARK~s ALTERATION DRAIN FIELO AND TANK <br /> <br />CITY JURISDICTION= <br /> <br />8Y .............. DATE ..................... <br /> <br />OFF[CE COPY <br /> <br /> <br />