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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG NO, 225 <br />220 HIGH,,.STREET NE <br /> SALEM, OR~GON ~7301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4::30 PM - 8::00 A M <br /> <br /> Other <br /> <br />DATE~ 06/05/8? TIME: 2.'20: 13D <br /> REID, ALAN <br /> <br />SIfUS ADDRESS <br /> <br /> 210 CLIFFORD AVE <br />DETROIT OR 97342 <br /> <br />US~: OF SUILDING <br /> <br /> DATE <br /> <br />COSSTRUDTION TYPE <br /> <br />CONTRACT CITY <br /> <br /> DT <br /> <br />420 ROY ST <br />,~-tERNOOD, OREGON 97140 <br />PHONE: 625-5649 <br /> <br />LOT BLOCK SECTION TOWNSHIP <br /> 26 5 1 <br /> <br />WIDTH ?5 DEPTH 135 AREA 'lU'lg~ U"--"---.--UNITS <br /> <br />N <br /> <br />PATTON <br /> <br /> SITE NUIVSER: <br /> VALUATION= <br /> <br />RANGE ZONE <br /> 5E <br />IRREG LOT N CORNER <br /> <br />CATEGORY <br /> <br />OCCUPANCY <br /> <br />OCCUPANT LOAD <br /> <br />1586 <br /> <br /> MAP <br /> <br /> 105 <br /> <br /> N <br /> <br />TYPE: ON-SITE SENAGE <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />REID, ALAN <br />420 ROY ST <br />SHERAOOD, OREGON 97140 <br />PHONE: 825-5549 <br /> <br />9002550 <br /> <br />MATER StJPPLY: CW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: PATTON II <br />EXISTING TANK SIZE: <br />EXISTING ORAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS: <br /> <br /> ITEM <br />STANDARD ON-SITE SYSTEM <br /> <br />PAYEE: REIDI ALAN <br />RECEIVED BY. ¢] <br /> <br />TOTAL ASSESSED FEgS <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br /> QUANTITY AMOUNT <br /> 1 $125.00 <br /> <br /> $~25.00 <br /> $0.O0 <br /> $125.00 <br /> <br /> $0_00 <br /> <br />INVOICE NO: 3055 <br /> <br /> TYPE: IN CHECK $*: 0 <br />SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE' S. ENAGE SYSTEM. <br />* THIS IS NOT A PERMIT. THIS A~PLICATiON ML~T GO: THROU(~ A REVIEW P~)CEI~ HERE THE <br />FOLLOWING MUST BE COf4PLETED. IT IS THE RE~PON$IB~ILITY OF THE APPLICANT TO A,,~URE THAT <br />ALL NI~CESSARY INFORMATION HAS BEEN PROVIDED+ <br /> <br />PL&N REVIEN: BY BATE.~_~-~2___ CITY JURISDICTION: BY ........ DATE ......... <br />REMARKS: PERMIT <br /> <br /> <br />