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MARION COUNTY <br /> - ~BUILf)ING INSPECTION <br />Senator Bu ~irtg · 220 I-[igh Street NE · Second ~:'[oor * Salem, Oregon 97301-3670 <br />Ol'fic~ Hours: 8:00- 4:30 Phone: 588-5147 24 Hour Codc-A-Pltone: 588-7904 <br /> <br />DATE: 04/25/90 TIME: 14t24:42 <br /> <br /> RICKMAN, WILLIAm1 <br /> <br />RESIOENTIAL <br /> <br /> 11595 JANES NAY DR <br />AUNLSVILLE OR 97325 <br /> <br />SE <br /> <br />NAZI ON COUNTY NO <br /> <br />11555 JANES NAY DR SE <br />AUNSVILLE OR 97~25 <br />PHONE: 749-2450 <br /> <br />SI~E NUNEERt 9567 <br /> VALUATION: <br /> <br />225 499 <br /> <br /> 28 8S 1W AR <br />112275. SE NO NO <br /> <br />48 <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />PERf4IT OR APPLICATION NO: 9023515 <br /> <br />CONT~:L&CTOR, 4~ <br /> <br />2230 NO PACIFIC HNY <br />¢.X]ODEURN, OREGON 97071 <br />~E: 371-6820 <br /> <br />WATER SUPPLY; P~4 <br />TEST HOLES RF-~DY: <br />SITE EVALUATION NUMBER: 22247 <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUNPED~ <br />PREVIOOS NO. BED~: <br /> <br />SE < 8 NONTHS OLD ,.,..~ <br /> <br /> $ <br /> <br /> QUANTITY AMOUNT <br /> 1 $110+00 <br /> <br />TOTAL ASSESSED FEES $110.00 <br />PREVIOLI$ RECEIPTS $0.00 <br />THIS RECEIPT $110.00 <br /> <br />BALANCE DUE <br /> <br /> PAYEE: RICKNNq, WILLIAN RECEIPT NO: 24912 <br /> RECEIVED BY: c1 ................................................................................................................. TYPE: CK CHECK ~: 2086 <br /> <br /> SEE ATTACHED DOCUNENT FOR REdIReCTS OF ~-SITE SE~AEE S~TEM. <br />* ~IS IS NOT A PE~IT. ~I8 APPLI~TI~ ~ST ~ ~ A E~IB P~B ~ERE ~E <br />~L~INO ~ST BE ~ED. IT IS ~E ~I8ILl~ OF ~E APPLIC~T TO ~RE ~AT <br />ALL N~RY IN~TI~ H~ BE~ P~IDED. <br /> <br />PLAN REVIEW: 8Y .......................... DATE .................. i ...... : .. CITY JURISDICTION: BY .............................. DATE ............................... <br />R~NARKS: PERMIT <br /> <br /> <br />