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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 8::00 - 4::30 <br />24 HOUR CODE-A-PHONE:: 5@8-7904 <br /> <br />DAIt:-: 08/0b/91 ~iME: 10:14;15 <br /> 5~URDiVANf, SYEV~ ,~ CAROL <br /> <br />SITUS ADDRESS <br /> <br />CATEGORY <br /> <br />OCCUPANCY <br /> <br /> 8551 LtTTLE RD <br />AU~VILLg OR 9?325 <br /> <br />USE OF BUILDING <br /> <br />MAILING ADDRESS <br /> <br /> 5AM~ <br /> <br /> PHONE: ?49-2622 <br /> <br />LOT BLOCK <br />WIDTII DEPTH <br /> <br />SE <br /> CONTR <br /> <br />SECTION <br /> · 3,!, 85 <br />AREA '~ 9 UNITS AC <br /> <br />COU N 'f Y N 0 <br /> <br /> NUMBER: <br /> VALUA ~ ION: <br /> <br />IRREG LOT <br /> NO CO RN EFCqf,.) <br /> <br />OCCUPANT LOAD <br /> <br />'YPB:: ON-S/lB SEWAGE <br /> <br />P~RM/f OR APPLiCA/LON NO: <br /> <br />CONfRACfOR, NO. <br />SfLJRDiV&NI, 5I~V~ & CAROL <br /> <br />PBONB: ?4,9 <br /> <br />~:PAJR - MAJOR : <br /> <br />PAYP-E: ~ILCRf,)J, <br />N~':b I'¢Et3 LC'C: <br /> <br />STEVE & CAROL <br /> <br />WA1ER SUPPLY: PW <br />'FESI HOLES READY: <br />$i1E EVALUAIlON NUMBbR: <br />~X~ST'iNG TANK %IZE: 10001200 <br />EXISflNG DRAIN FIELD LiNE~ <br />5EPflC lANK PUMPBO: <br />PREVIOUS NO. BEDROOMS: <br /> <br />10~AL ~E~D PEg5 <br />PRE¥IOUS RN~EIPr5 <br />THiS RECEIPI <br /> <br />BALANCE DUE <br /> <br />QUA.NIIIY <br /> 1 <br /> <br /> RECEIPT NO: <br />rYP~: OK CHECK <br /> <br /> AMOUN f <br /> $80. De <br /> <br /> $80.00 <br /> $0_oo <br /> $80. O0 <br /> <br /> SC}. oo <br /> <br />36 / ,~2 <br />2855 <br /> <br /> LC~: AII~ChI~ DOCUMENT FOR REr,~lUlRENENT5 OF ON-SI'rE SEWAGE SYSfgM, <br /> <br /> THiS iS/NOT A PEi~iT. THiS APPLICATION r~JST GO THROU6~ A REVIEW PROC65~ ~ERE THE <br />~OLLO~ING/f~JST BE COf4PLETED. iT iS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />A~L NECP~RY INFOF~LATI~ HAS BEEN PROVIDED. <br /> / <br /> <br />BY <br /> <br />DA f E <br /> <br />CifY JURINDiC[iON: BY <br /> <br /> <br />