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MARION COUNTY BUILDING INSPECTION <br />SENATOR ~LOG, NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 5~-5147 $:O0 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />Other ,, ....... <br /> <br />AOORESS~ ' ' ' ~'dONST~UCT~ON TYPE~ ~ OOCUPANCY: <br /> <br /> 79~a STONE F~ELD CT SE ~ , <br /> AUMSVILLE OE 77~25 , MARION ~OUNTY, NO [ <br /> <br /> 3 <br /> <br /> S~HE <br /> SITE Hu~ER: ~3-e2717 <br /> PHONE: ~45-6222 ', VALUATION: <br /> <br />TYPE= ON-SITE <br />PERH[T OR APPLICATION <br /> <br />gONTRACTOR~ NO~ <br />KAIL~Y, <br />SAME <br /> <br />PHONE: 945-6222 <br /> <br />~8972 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: <br />SITE EVALUATION NUNBER: <br />EXIST~N~ TANK <br />EXISTING DRAIN FZELD <br />SEPTIC TANK PUMPE~: <br />PREVII~JS NO. ~EDROOMS. <br /> <br /> ITEH QUANTITY AhOUNT <br /> EXISTING SYSTEM EVAL. RPT., i $~60.0~ <br /> 'TOTA'L"ASSE~SED FEES $160.00 <br /> ...'PREV[DUS. RECE,IpTs $160~00 <br /> <br /> ... .... '~ALANCE DUE $0,00 <br /> <br /> PAYEE= .... '"' ..... RECEIPT NO: <br /> RECEIVED BY: PB -".~ : ... TYPE: CHECK t: ~ <br /> SE~ ATTACHED DQCUNENT.FOE'.R.EQUIEEMENT$,,OF UN;S~T~.SEa~GE SYSTEM. <br /> <br />&ON~IRuC~ION FAILS TO ~EET 4LO RE:UIE~ENTS OF ST~TE'LAWS AND MA~OM COUNTY BU~LD~N~ fiND <br />ZONING ORDIHANCgS~ TH~S PEEHIT.SHALL BECOH~,NULL ~D VOID.' <br /> <br />REMARKS: SS:ESE. NO APPARENT FAILURE,, DRI'VE CONFLICTS WITH D/F. POSSI~ SA~NDFIL, TER FOR <br /> , FUTURE REPAIRS. . · ~// ~ <br />D~iAL,~ E. WOOgLEY, HANZON COUHTY BUILQING OFFIOIAL / BY ][~ .... __~ <br /> <br /> OFFICE COPY <br /> <br /> <br />