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220 HIGH STREET NE <br />SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br />of a resistered builder, <br />The work will be pedocrl~ed by a registered builder. <br /> <br /> DATE: 01/08/88 TIME; <br />OWNER~ <br /> CORDIER, LELAND <br /> <br /> 10526 STEINKAMP RO <br />AUNSVILLE <br /> <br />ADDRESS: <br /> <br />PO BOX 551 <br />SAr. EM 97308 <br />pHONE: 362-0656 <br /> <br />LOT: : BLOCK: <br /> <br />WIDTH' iDEPTH: <br /> <br />10:17;3.9a ............. <br /> <br /> 1-56244~000 <br /> <br />RESIDENTIAL <br /> <br /> SITE NUMBER: 3411 <br /> VALUATION: <br />!SECTION: i TOWNSM IP: ~,~'N ~ ~: i XONEi ' MAP: <br /> <br />: 4. 15000 AC ~ YES~ NO <br /> <br />TYPEt ON-SITE SEWAGE <br /> <br />PEP, NIT OR APPLICATION NO: 6126 <br /> <br />CONTF~CTOR, NO, <br />FORCIER, LEL.AND <br />PO 80X 551 <br />SALEM 97308 <br />PHONE: 362-o536 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EX~STING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO- BEDROOMS: <br /> <br /> ITEM QUANT I TY ANOUNT <br /> , 1 $165.00 <br />SITE EVALUATION, FIRST LOT : <br /> <br /> ~ .:TC):T..Ai,~ :ASS~ED .::FEES $165.00 <br /> : ' : pREVIOUS :'RECEIPTS $165-00 <br /> <br />PAYEE: :'" NO: <br />RECECVED BY-- CL ~':L:' ,t,,:! <br />SEE ATTACHED DOCUMENT FOR RBQUIREMB.N~ DE ,~%S~TE: ~ENAGE:SYSTEM. <br /> <br />NOTE: THZS DOIE~ NOT GRANT- - -- CTH'~s PAI~OEL. PLAt~fNG AND <br />CONSTRUCTION P~IT~ MUST BE (~eTA'[NED~ BEFORE:',;'~U'rLBING OR SEPTIC INSTALLATION BEGINS. <br /> <br />REMARKS: SITE EVAL R¢86'13 <br /> <br />DONALD E- NOOOLEY, MARION COUNTY BUILBING <br /> <br /> <br />