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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 588-8147 <br />CODE-A-PHONE 4::30 PM - 8::00 AM. <br /> <br />I am performmS work on a property I own or oocvpy <br />famalcgistered builder ORr ~ tho authorized representative <br /> <br />Other_ <br /> <br />DATE: 04/01/88 TIME~ 9:50:49e <br />OWNEn LARSON, BYRON <br /> <br />DATE <br /> <br />TAX LOT 75440--120 <br /> <br /> 11576 MCCLELLAN LANE <br />AUMSVILLE OR <br /> <br />97325 <br /> <br />SE <br /> <br /> CONSTRUCTION TYPE <br /> <br /> CONTRACT CITY I UGB <br /> <br />MARION COUNTY ! NO <br /> <br />SAME <br /> <br />PHONE: 769-7169 <br /> <br />~ OT BLOCK <br /> 1 <br />WlOTH 60 OER'T H <br /> <br />120 <br /> <br />SUBDIVISION <br /> <br />NEST STAYTON <br /> <br />SITE NU~ER= 4040 <br />VALUATION: <br /> <br /> 03 9S <br />AREA 7200.00 UNITS SE IRn~ LOt <br /> <br />2W AR <br />NO CORN~ <br /> <br />CATbGOnY RESI DENTIAt <br /> <br />"YPE: ON-SITE SEWAGE <br /> <br />PERMIT OR APPLICATION NO; 9007S83 <br /> <br />CONTRACTOR, NO. ~_~ <br />LA.ON, BYRON ./X <br />SAME <br /> <br />PHONE: 769-7169 % <br /> <br />WATER SUPPLY: PW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: WILL BRING IN <br />PR~IOUS NO. 8EDROOf'&S: <br /> <br /> ITEM QUANTITY ANCUNT <br />AUTHORIZATION NOTICE -- FLD_ VISIT 1 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$65.00 <br /> <br />$85.00 <br /> <br />PAYEE: LARSON, BYRON RECEIPT NO: 8228 <br />RECEIVED BY: pb TYPE: CK CHECK Ut 2622 <br /> <br />SEE AT'FACHED ~)CUMENT FOR REQUIREMENTS OF ON-SITE SEWAGE SYST~. <br /> <br />~ ~IS IS NOT A PE~IT. ~IS A~LI~TZ~ ~BT ~ ~ A R~I~ P~ ~BRE ~E <br />FOLDING ~ST BE ~PL~ED. ZT 2S ~E R~SIBILZ~ OF ~E AP~LIO~T TO ~RE ~AT <br />ALL NEC~Y INFO~TI~ <br /> <br />PLAN REVIEW: 8Y__~___ <br />REMARKS: R~9545 <br /> <br />CITY JURISDICTION: BY ............ DATE .......... <br /> <br />,,: ~.*; ~c, ~ a, OFFICE COPY <br /> <br /> <br />