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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />,220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br /> CODE-A-PHONE 4:30 P.M. - B:00 A.M. <br /> <br /> The work wlJ~ be performed by a registered builder, <br /> Other ...... <br /> <br /> DATE: 04/23/87 TIME: 1:27:2~p <br />OWNER: Mt. JSIO ~ ROBERT <br /> <br />TAX LOT~ <br /> <br />CATEGORY: <br /> <br />OCCUPANCY: <br /> <br /> 230 CENTER STREET <br /> DETROIT OR <br /> <br /> OBC~IE: 85,4-.375 <br /> <br />W$0TR. 100 CGPTH. "7"7 <br /> <br /> TYPE: ~-S'ITE SEWAGE <br /> <br /> OERHrT OR APPLICATION hiD; <br /> <br /> ~TRACTOR, NO. <br /> ~US~C, ROBERT <br /> <br />CONTRACT CITYI <br /> DT <br /> <br />8U BDIVISION: <br /> MAY <br /> <br />OCCUPANT LOAD: <br /> <br />SECTION: TOWNSHIP: MAP: <br /> <br />AREA; ??00- O0 UNITS; <br /> <br />9001751 <br /> <br /> SITE NUMBER.+ 1163 <br /> VALUATION: <br /> <br /> RANGE'. ' ZONE: <br /> 5E <br /> IRREG. LOT: CORNER: <br /> SF N N <br /> <br />WATER SUPPLY: C~ <br />TEST HOLES READY:. <br />SITE EVALUATION NUMBER: NO REOORD <br />EXISTING T~NK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />HOLDING TANK AGREEMENT: <br />EASE~IENq-: <br />,AFF I DAVIT: <br />WINTER WATER CHECK; <br /> <br /> iTEM QUANTITY AMC~NT <br />EXISTING:SYSTEM EVAL. RPT. 1 $60.00 <br /> <br />PAYEE: MUSIC, ROBERT <br />RECEIVED BY: dm <br /> <br />SEE ATTACHED DOCUMENT FOR <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$60.00 <br /> $0,00 <br />$60.00 <br /> <br />BAlaNCE DUE $0,00 <br /> <br />INVOICE NO: 22~'1 <br />TYPE: IN CHECK ~: 0 <br /> <br />SYSTEM, <br /> <br />SPECIAL REQUiREMENTS~ <br /> <br />* THIS l$ NOT A PERtfllT. <br />FOLLOWING i~I.JST BE <br />ALL NE~RY INFORI~4ATION <br /> <br />~I~ PROCE~ ~E~ ~E <br /> IEAPPLIC~TTOA,.SSURE ~AT <br /> <br />PLAN REVIEW: BY <br />!~EMARKS: SEPTIC EVAL F~R ~OAN:C <br /> <br />DATE <br /> <br />OFFICE COPY <br /> <br /> <br />