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MARI(~N COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, O. REGO~ 97301 <br /> <br />PHONE; 588~5147 8:00" 4:30 <br />HOUR CODE-A-PHONE: ~88.7904 <br /> <br />0ATE: 07/22/92 T~HE: 10:58:i5 <br /> <br />.................................. <br /> <br />,,-dWN~.: '~iLL r 80SS .....: f~ <br /> 11~61 STEINK~MP RD SE '- ................................................... <br /> AUHSV~LLE OR 97325 ' ~ ~UNYY ': ~ ~UPaNr to~m <br /> <br /> D[TTE~ HILL <br /> <br /> SITE NUMBER: 91-02535 <br /> PHONE: : VALUATION: <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERHIT OR APPLICATION <br /> <br />CONTRACTOR, <br />HILLIGOSS <br /> <br />9041426 <br /> <br />WATER SUPPLY: P~ <br /> <br />SITE EVALUATZON <br />EXISTING T~N~ SIZE: <br />EX~ST~NG'ORAZN FIELO LINE~: <br />SEPTIC TANK PU~PED: <br />PREVIOUS NO.. <br /> <br /> I TEH QUC~NT I TV ~MOUHT <br />SITE EVALUATION, FIRST LOT 1 $220.00 <br /> <br /> TOTAL ASSESSED FEES $220.00 <br /> . , PREVlOU~ RECEIPTS $0~00 <br /> THIS RECEIPT,,,, $0.00 <br /> <br /> ;'; ~?,~'%. ~ ......... %. ~>... . $220.00 <br />PAYEE: "'"' '" ' ........ ' R~CEIPT <br /> <br />SEE ~TTACHEO DOCUHENT FOR REOUIRENENTS'OF 0N-SITE'SEWA~E SYSTEH. <br /> <br />MOTEs THrS DOES NOT GR'~NT OR IMPLY PERMISSION TO ~UILO ON THI~ PARCEL, PLANNING <br />ONSTRUOTION.PERM[~ ~T BE OBTAINED BEFORE BUILD,N8 OR 8EP'TIO INSTALLaTiON BEGINS. <br />REMARKS: EYALU4T~ON ~N'~OTHER,~REA.IHAN O~IG~NAL <br /> <br /> <br />