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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREf~ON 9'7301 <br /> <br /> PHONE 888-5147 <br />CODE-A-PHONE 4:30 P.M- - 8:00 A.M. <br /> <br /> The work will be performed by 8 registered builder· <br /> <br />DAf'E! 05/07/8? TIME: 4:32~07p <br /> <br />SIC, ROBERT <br /> <br />BIGNATURE OF APPLICANT: <br /> DATE: <br /> <br />TAX LOT: <br /> <br />SITUS ADDRESS; <br /> <br /> 23[) CENTER STREET <br /> DE'TROUT , <br /> <br />OR 97342 <br /> <br />ONE AND TWO FAMILY DWELLINGS <br />t>F!ONE: 854-375 <br /> <br /> CONSTRUCTION TYPE'. <br /> <br />· CONTRACT CITY: <br />~ DT <br /> <br />SUBDIVISION: <br /> <br />SITE ~L,~IBER <br /> VALUAT I ON: <br /> <br />LOT: BLOCK; <br /> ' O <br /> <br />W~DTN: i [)0 DEPTH: <br /> <br />! !0 5E <br /> <br />AREA: 7700.00 UNITS: SC' IRREG LOT: N CORNER: <br /> <br />CATEGORY: <br /> <br />OCCUPANCY: <br /> <br />OCCUPANT LOAD: <br /> <br />1183 <br /> <br />R <br /> <br />MAP: <br /> '! 05 <br /> <br />TYPE: ON-SITE SEWAGE <br /> <br />°BRUIT OR APPLiCATiON NO: <br /> <br />CON rRA_,TOR, NO <br />NJ,= ~,~, ROB,, R, <br />'3A~E <br /> <br />¢*tONE; 854,--3?5 <br /> <br />1935 <br /> <br />WATER SUPPLY: CM <br />TEST HOLES <br />SITE EVALUATION NUNIBER: <br />EXISTING TANK <br />EXISTING 0RA, IN ~IELO LINES: <br />SEPTIC TANK <br />HOLDING TANK AGREENIENT: <br />BASEMENT: <br />AFFIDAVIT: <br />M~N'FER MATER CHECK; <br /> <br /> PR~I~S RECEIPTS $35- 0O <br /> THIS RECEIPT $0-OO <br /> <br /> BALANCE DUE <br /> <br />c, AYE5: i NVO [ CE ~0 <br />RE-FiVE2 F~Y F')~¢ TYPE: CHECK <br /> <br />SEE .'?TACh'ED DOGU~EN~ FOR REQUZRE~ENT'S OF ON-SITE S~AGE SYSTE~. <br /> <br />'~F'EG L~X L REOU I REMENTS: <br /> <br /> - <br />~ST~CTZ~ FAZ~ TO NE~ ALL REdIReCTS, OF STATE:~'~B ~RZ~ ~N~ ~U~LDZNG <br />Z~NG ORDZN~C~, ~S PE~ZT ~ALL BEde '~LL ~D'VOZ. D. <br /> <br />RE~4ARKS: SEPTIC REPAIR (~ ,..~.~.~ <br />,,~ONA[,,~ : ;OODLEY_ HAR,'{,ON COUNTv BUILDING OFF[C:[AL / ~Y .......................................... <br /> <br />OFFICE COPY <br /> <br /> <br />