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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STR.EET NE <br /> SALEM, bREGON g7301 <br /> <br /> PHONE: 598-5147 $:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7g04 <br /> <br /> lamp~¢f~fmngworkonaD¢O~erty own ~r O¢OUDy, <br /> I ~ave ~ea~ and ~g¢~ to th~ ferns s~a~d on tfi& reverse ~i~ o~ OATE; .............................. <br /> <br />: ~'~US ADORSSS; ............................................. <br /> <br /> US~ O~ ~U~LDJN~: '' .............................................................................................. <br /> 5 <br /> <br /> DITTER H~LL <br /> PO BOX ~01~S <br /> ~E[ZER OR 97~07 ~iTE NUMBER: 9~-0Z5~5 <br /> PHONE; 590-1190 + V~LUATION: <br /> <br />~ ................ , ................................................. ~ ............................... <br />~l~TH', ~O~PTH: ............. : ~R'~AJ ~NI I , LOT; ' ~ ', <br /> <br />TYPE: ON-SITE SENAEE <br />PER~IT OR APPLICATION NO: 4[426 <br /> <br />CONTRACTOR~ NO. <br />HILLIGOSS <br />PO 80X 20125 <br />KEIZER OR 97507 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY; <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SZEE: <br />EXISTING DRAIN FIELD LINES: <br />SEPT,lC TANK PUMPED: <br />PREVIOUS NO.. BEO~OOHS: <br /> <br />,I <br /> <br /> ITEM QUANTITY AHOUNT <br />SITE EVALUATION, FIRST LOT i $220.00 <br /> TOTAL ASSESSED F~ES $220.00 <br /> PREVIOUS RECEIPTS $0.00 <br /> THIS RECeiPT <br /> <br /> BALANCE DUE <br /> <br />SEE ATTACHED DOCUME~-REQUIREMENT$.OF ON-SITE SEWAGE SYSTE~. <br /> <br />NOTE: THIS DOES NOT BRANT OR INPLY PE~HISSION TO BUIL. DON. THI$ PARCEL. PLANNING AND <br />ONSTRUCT~ON PERMITS MUST BE OBTAINED ~E?ORE BUILDING OR SEPTIC INSTALLATION BEGINS. <br /> <br />REHARKS: EVALUATION IN ANOTHER AREA THAN ORIGINAL 85-66~ <br />DONALD E, WOODLEY, HARION COUNTY 8UILOING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />