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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG, NO, 225 <br /> 220 HIGH STREET NE <br /> <br /> GOD~-~-~HO~fi 4:BO ~.M~ - 8:00 ~.M. · <br /> <br />0ATE: 12/31/87 TINE= <br /> <br /> 10528 STEINKAMP RD <br /> AUM~VILLE OR <br /> <br />USE OF BUlLDINGI <br /> <br />2-'26;44p <br /> <br /> 1-56244-000 R <br /> <br /> SE : <br /> I CONTRACT CITY; I UGB~ i OCCUPANT LOAC: <br />9?925 <br /> <br />',N0 OF eEOR00M$ <br /> 3 <br /> <br /> MAILING ADDRESS: . I <br /> PO cox 551 ~ [ <br /> SALEM 9?308 <br /> PHONE: 382-0535 SITE NUMBER: 3411 <br /> <br />LOT: BLOCK: ¢~EC~ibN; TOWNSHIP: ~ RANGE : ZONE: MAP~ <br /> 3o ~ ~S ~ ~ SA 4e <br />WfOTH: :DEPTN: AREA; 4.15000 jUNCTS: ~ i Y~ , ~ <br /> <br />TYPE: ON-SITE SE~'~GE <br /> <br />PERMIT OR APPLICATION NO: 9006126 <br /> <br />CONTRACTOR, NO. <br />FORCIER, LELAND <br />PO BOX 551 <br />SALEM 9?308 <br />PHONE: 362-0585 <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: TUESDAY 1-5-88 <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE; <br />EXISTING DP. AIN FIELD LINES: <br />SEPTIC TANK PUMPED: <br />PREVIOUS NO. BEDROOMS; <br /> <br /> ITEM <br />SITE EVALUATION, FIRSST LOT <br /> <br /> QUANTITY Ai'4OUNT <br /> 1 $165.00 <br /> <br />TOTAL ASS~D',EEES $185_00 <br />::PREVIOUSRECEIPTS $0.00 <br /> $185_00 <br /> <br /> ' : ,, BALANCE' DUE $0- 00 <br />PAYEE: FORC I ER, LELAND , ;: :!::~,",'~, ',, ,'_;; : : ~ECEI PT NO; 6 ? 15 <br />RECEIVED BY.+ DM ............. :.~.__.~z~,ThCPE.: CA':: CHECK ~: 0 <br />SEE ATTACHED DOCUMENT FOR SYSTEM. <br /> <br />NOTE: THIS DOES NOT .CR/[NT OR ;]:iMPLY <br />06~¢3 i I~LICTICN PE~F~T <br />PLAN REVIEW: BY_~/...~ .... DATE <br />REMARKS: SITE EVAL R~8613 <br /> <br /> PARCEL. PLA~IN6 AND <br /> INSTALLATION BEiINS., <br />CITY JURISDICTION: BY ........ DATE ......... <br /> <br /> <br />