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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OIq6GON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4;30 P.M. - 8:00 A.M. <br /> <br />) Other <br /> <br />J9~E~! 01/25/90 TINE: 12:27~47 <br />!SITUS AOO~J~YOA* WILLIAM <br /> <br />678 HAMPDEN LANE <br />GALEN 0R.-..97~05 <br />!USE bF <br /> <br />680 HAMPDEN LANE NE <br />;SALEM OR 97305 NK ~373-3915 <br />:PHONE: 362-5293 <br /> <br /> 100 ~ 650 ::: ¢~ROft <br /> <br />~oW~s'~iF: <br />U,~TS: ?S <br /> .~F <br /> <br />SITE NUMBER: 9228 <br />r WANNAT ION: <br /> <br /> ~&R~e, 'Co~N : co~N~'~AR <br /> <br /> , ,,,, NO NO <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO: 21317 <br /> <br />CONTRACTOR, NO, <br />VLJ~KYDA, NILLIAM <br />680 HAMPDEN LANE NE <br />SALEM OR 97305 NK ~373-3915 <br />~4ONE: 362-5293 <br /> <br />MATER SUPPLY: PN <br />TEST HOLES READY: <br />SITE EVALUATioN NUMBER= <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BED~: <br /> <br />CATEGORY: <br /> <br />OCCUPANCY: RESt DENTIAL <br /> <br /> 2 <br /> <br />MAP: <br /> <br /> 41 <br /> <br /> ITEM <br />SITE EVALUATION, FIRST LOT <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUB <br /> <br />QUANTITY <br /> 1 <br /> <br />AMOUNT <br /> $175_00 <br /> <br /> $175.00 <br /> $175.oo <br /> $0.00 <br /> <br /> $0,00 <br /> <br />PAYEE: RECEIPT NO: <br />RECEIVED BY: CL TY~E: CHECK ~: 0 <br /> <br />SEE Alq-ACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE SEWAGE SYSTE~. <br /> <br />NOTE: THIS DOES NOT GRANT OR IMPLY PEri,SION TO BUILD ON THIS PARCEL. PLANNING AND <br />CONSTRUCTION PER~ITS ~JST BE OBTAINED BEFORE BUILDING OR SEPTIC INSTALLATION BEGINS_ <br /> <br />REMARKS: PARCEL 2,STD SYSTEM <br /> <br />DONALD E. NOODLEY, ~ARION COONTY BUILDING OFFICIAL / BY <br /> <br />~:ORM" MC ,~,.~'~ ~,~V ~/.Z OFFICE COPY <br /> <br /> <br />