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DATE.' 03/15/88 <br /> SANDNER, <br /> <br />KEN <br /> <br /> MARION COUNTY <br /> BUILDING INSPECIION <br /> Senator Building · -*-~0 High Street NE ,~ Second Floor i Salem. Orcgot/ g731H-3670 <br /> <br /> Office Hours: 8;00 - 4;30 Phone; 588-5147 Cod¢-A-PhoI~¢; 4:3O p.m. - 8:O0 a.m <br /> <br />TIMEr 1 1 .'~1 .*3la Signature of Applican~ <br /> RESI DENTI, <br /> <br /> 8185 ANDERE~)N ROAD SE <br />AUMSVI LLE OR 97325 <br /> <br />MARION COUNTY NO <br /> <br />3 <br /> <br />KAREN HALE - RENTOR <br />10771LEVERI~ RD AUN~VILLE <br />PHONE: 749-1327 <br /> <br /> 33 <br />2.66000 <br /> <br /> SITE NUMBER: 3899 <br /> VAkUATION: <br /> <br />8S 1W AR <br />AC NO NO <br /> <br />48 <br /> <br />TYPE: (Iq-SITE SF~GE <br /> <br />PERMIT OR APPLICATION NOt 9007260 <br /> <br />CONTRACTOR, NO. <br />SANDNER, KEN <br />KAREN HALE - RENTOR <br />10771 LEVERMAN RD AUMSVILLE <br />PHONE: 749-1327 <br /> <br />WATER SUPPLYt PW <br />TEST HOLES READY: <br />SITE EVALUATION NUMBER: <br />EXISTING TANK SIZE: 1000 <br />EXISTING DRAIN FIELD LINES: <br />SEPTIC TANK PUMPED: NO <br />PREVIOUS NO. BEDR0~: 2 <br /> <br /> ITEM <br />AUTHORIZATION NOTICE - FLD. VISIT <br /> <br />PAYEE: HALE, KAREN <br />RECEIVED BY: CL <br /> <br />QUANTITY <br /> 1 <br /> <br />TOTAL A~e-~qED FEES <br />PR[VIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br /> RECEIPT NO: <br />TYPE: OK CHECK <br /> <br />AMOUNT <br /> $65.00 <br /> <br /> $65.00 <br /> $o.oo <br /> $65.00 <br /> <br /> $o.oo <br /> <br />7892 <br />2464 <br /> <br />SEE ATTACHED DOCUMENT FOR REQUIREMENTS OF ON-SITE SFJNAGE SYSTEM+ <br /> <br />'~ THIS IS NOT A PEI~IT. THIS APPLICATION MUST GO THROUGH A REVIEW PROCESS ~-tERE THE <br />FOLLO~IN6 MUST 8E C~LETED. IT IS THE RESPONSIBILITY OF THE APPLIC~T TO AS~RE THAT <br />ALL NECESSARY INFORMATION HAS BEE~I PROVIDED. <br /> <br />REMARKS: NEED PUMPING - AUTH <br /> <br />CITY JURISDICTION: BY ........ DATE ......... <br /> <br /> <br />