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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PJ-ION E-' 588-5147 <br />CODE-A"PHONE 4::30 P,,M ' 8::00 AM <br /> <br /> DATE: 06/01/87 TIME; 12:20:44, p <br /> <br />OW,ER UNITED STATES MARSHAL SERVICE <br /> <br />TAX LOT CATEGORY <br /> <br />SITUS ADDRESS <br /> <br /> 8991 EBCLIFF CT SE <br />AUMSVILLE OR <br /> <br />CONSTRUCTION TYPE OCCUPANCY <br /> <br />CONTRACT CITY UGS OCCUPANT LOAD <br /> NC N <br /> <br /> 3 <br /> <br />CASCADE PARK <br /> <br /> FRED PUROY - REAL ESTATE <br /> 8639 RIVER RD S SALEM 9?302 <br /> PHONE: 581-8888 ~,~./~/ SITE NUMBER; <br /> VALUAT Z ON: <br /> <br />LOT BLOCK SECTION TOWNSHIP RANGE ZONE <br /> 8 2 12 8S <br /> <br />WIDTH DEPTH AREA 3. 00000UNITS ~ IRREG LOT y CORNER <br /> <br />1527 <br /> MAp <br />N <br /> <br />TYPE: ON-SITE SEN, AGE <br />PERMIT OR APPLICATION NO: 9002441 <br /> <br />CONTRACTOR, NO. <br />UNITED STATES MARSHAL SERVICE <br />FRED PURDY - REAL ESTATE <br />3639 RIVER RD S SALEM <br />PHONE: 581-8888 "--.. '.-.-" <br /> <br /> ITEM <br />EXISTING 8YSTEM EVAL. RPT. <br /> <br />~AATER SUPPLY: <br />TEST BOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: 900 <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: PUMPER GIVEN <br />PREVIOUS NO. <br /> <br />45O <br /> <br />PAYEE: UNITED STATES MAR3rtAL SERVICE <br />RECEIVED BY: dm <br /> <br />TOTAL ASSESSED FEES <br />PREVIOJS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />QUANTITY <br /> I <br /> <br />AMOUNT <br /> <br /> INVOICE NO: <br />TYPE: CK CHECK <br /> <br /> $60,00 <br /> <br /> $60.00 <br /> $0.00 <br /> $60.00 <br /> <br /> $o.oo <br /> <br />2935 <br />8165 <br /> <br />SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE SENAGE SYSTEM. <br /> <br />~ THIS IS NOT A PEI:~IIT. THIS APPLICATION MUST EOTHROI. I6~ A REVIE~ PROCEE~ERE THE <br />FOLL.O~ING MUST BE COMPLETED. IT IS THE RESP(N~iSIBILITY OF THE APPLICANT TO ASSURE THAT <br /> <br />ALL NECESP~ARY INFORMATION HAS BEEN PROVIDED+ <br />RE~R~: LO~ <br /> <br />CITY JURISDICTION: BY ........ DATE <br /> <br />OFFICE COPY <br /> <br /> <br />